Admission Form 2

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1/2 PROFORMA OF ADMISSION APPLICATION FORM FOR ADVANCED AND POST-ADVANCED SKILL COURSES

Application for trade/Institute

admission

in

the

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Name (in block letters) Fathers/Mothers/Husbands Name Mailing Address Date of Birth (in Christian Era) Marital Status (whether Single or married) Nationality a) Whether SC/ST / OBC b) Mention the category in case of wards of Defence Personnel (i) Children of deceased/disabled/ Disabled Ex-servicemen including those killed/disabled during peace time (ii) Children of Ex-servicemen (iii) Children of serving Jawans (iv) Children of serving officers (v) Ex-servicemen

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Indian Postal Order No. ( If not by Cash) Qualifications (a) ACADEMIC Examination Passed Board/ University Year Subjects Division & % of marks

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(b) TECHNICAL (ITI and Other) Examination Passed Examination Body Year & Duration Subjects Percentage of marks

NOTE: Please attach attested copies of certificates/marks sheet of all examinations passed as mentioned above & one self addressed envelope of size 10 cm X 23 cm with the application form and also deposit cash of Rs. 15/- or PostalOrder of Rs. 15/-. Incomplete application not accompanied with the attested copies of the relevant testimonial/Certificates/Mark Sheets and Rs. 15/- Cash or Postal Order will be rejected.

Paste Passport size photograph duly attested

Date:

Signature of the Applicant

--------------------------------------------Cut Here--------------------------------------------ACKNOWLEDGEMENT

(Name & Trade to be filled by candidate)

Received Application Form from Miss/Mrs.........................................................for the trade of .................................................................... along with Cash/Postal Order of Rs. 15/-(Fifteen Only)

Date: For Principal

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