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NDTS/TC/FM/05

ENROLLMENT FORM

PASTE
(DO NOT STAPLE)
COURSE RECENT
PASSPORT SIZE
PHOTOGRAPH
COURSE ID

Name (In Block Letters):

Date of Birth(DD/MM/YYYY):

Gender: Male/Female

Highest Education:
Year of Passing (Highest
Qualification):

Experience(NDT): In months

Address of Residence:

Mobile No(With Country code:

Personal Email ID:

Company Name and Address:

Company Email ID:

Employee Code (if any):

I HAVE READ AND AGREE TO ABIDE BY THE RULES AND REGULATIONS OF NDTS INDIA (P)
LIMITED.

DATE

PLACE SIGNATURE OF THE CANDIDATE

619 & 620 The Great Eastern Galleria, Plot No.20, Sector 4, Nerul, Navi Mumbai 400 706
Tel.: +91-22 6138 0600, 2770 3913, 2770 3923, 2772 9077 | Fax: +91-22 2770 3903| Email: training@ndts.co.in

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