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Application Form

Application Form

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Published by prashantrocks8998

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Published by: prashantrocks8998 on Oct 25, 2010
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11/25/2012

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CENTRAL SCIENTIFIC INSTRUMENTS ORGANISATIONSector 30 Chandiarh
Application Form for 6-12 Month Industrial Training
Name of the InstituteName of the StudentFather’s NameDate of BirthPermanent AddressE-Mail AddressContact No.Name of the Pursuin Deree/CourseBranch / DisciplineAggregate %age ObtainedE-Mail AddressT&PO of the Institute DetailsContact Number Name
1. Certified that the information furnished by me is correct.2. I have read and understood the
Instructions/Notes
.Countersigned by :Date of Submission
Signature of CandidateTraining & Placement Officer Reistration No.
20-October-2010
(For Office Use Only)
Vertical / Horizontal / Proect Leader / Workin ScientistRecomended And Associated With
945Mr.Prashant NathSh. Chetan Nath09-October-1988nathbiotech2007@gmail.comH.No. 788/17, Mohalla Rang Mahal, Gurdaspur-14352170.50B.TechBio-TechnologyBCET, Gurdaspur 9465726117Sh. Parmod Kumar Yadav9417073495pkyadav75@yahoo.co.in
Interests:First PreferenceSecond Preference
Biomedical InstrumentationNano Bio Photonics
Incharge Training and DevelopmentHRD, CSIO Chandigarh
Affix a passportsize photographhere

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