GOVERNMENT SERVICE HOME

Application for Tailoring / Secretarial Course

(Residential course)
Subject:

Typewriting English & Tamil One year course

Shorthand - English & Tamil One year course

1. Name of the applicant

(Tamil)
(English)

..
..

2. Date of birth & Age

..

3. Mother tongue

..

a) Nationality
b) Religion
c) Caste (BC /SC/ ST)

..
..
..

4. Father (OR) Guardian

a) Name
b) Address
c) Occupation & Annual income

..
..
..

5. Permanent address

..

6. Present address

..

7. Married / Unmarried
If the applicant is deserted or divorce
certificate should be enclosed

..

8. Educational qualification

..

9. Technical qualification

..

I declare that the above details are true to the best of my knowledge and
there will be no change in that. If I am selected I assure that I will obey the rules
and regulations of the Home.

Guardian signature

Applicants signature