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: /Diploma Technical /2016-17

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( )


1. ( ) ........................................................................ ...

( ) Name of Candidate in English (in Capital letters) ...........................................................................................................

2. ( )................................................................................ ( sa)...............................................................................................
( ) : ...
3. : (Present address for communication) : (Permanent Home Address)

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4. 5. - :_________________________________________________________

6. .../ / / ( ) 2013 2014 2015

7. .............................................. 15 07 2016 -
8. / ( ) :

9. ( ):
10. ( ): ( ):
11. /Religion : .................................................................... 12. / Nationality : ................................................
13. / ( )
/ / (%)
/ High School

/ Intermediate

.../ /
ITI/Diploma/Degree

Other Qualification
14. / :
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15- ( )/Name of two Honorable Persons (Not related to you)
(1) /Name (2) / Name .

/ Position.. /Position ..
/ Address. . /Address.
................................... .............................................
/

:.........................
:........................

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