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Application Form

Register for Course

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1) Name of the Course :

2) Name of the Applicant(In Block Letters) :

3) Father / Husband’s Name :

4) Date Of Birth :

5) Sex :

6) Religion :

7) Whether SC/ST/OBC :

8) Annual Family Income :

9) Whether physically handicapped ? :

10) Correspondence Address(full) :

11) Whether hill, tribal area? :

12) Whether Terrorist or Natural Calamity effected area :

13) Educational Qualification :

14) Future Plan after Training :

The information stated in the application are true to the best of my knowledge and behalf. I shall abide by the rules and regulations of the training center. In case candidate desires to avail Hostel Facility has pay rent @Rs.50/- Per day. In case I happen to discontinue the training in the middle or if I am sent back from the training center for my misconduct or any other reason, I shall refund all the expenditure towards my training to the training center.

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