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  • Application: TO Sui) Mitted Institute

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    Aman Kumar
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    This document is an application form for coaching for scheduled caste and backward class applicants. It requests the applicant's name, parents' names, caste, address, date of birth, age, family income, academic qualifications, Aadhar number, mobile number, and requires signatures from the applicant and authorized signatory. It also lists required self-attested documents to attach including caste certificate, income certificate, academic certificates, Aadhar card copy, and Haryana police registration/application form.

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    This document is an application form for coaching for scheduled caste and backward class applicants. It requests the applicant's name, parents' names, caste, address, date of birth, age, family income, academic qualifications, Aadhar number, mobile number, and requires signatures from the applicant and authorized signatory. It also lists required self-attested documents to attach including caste certificate, income certificate, academic certificates, Aadhar card copy, and Haryana police registration/application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    14 views2 pages

    Application: TO Sui) Mitted Institute

    Uploaded by

    Aman Kumar
    This document is an application form for coaching for scheduled caste and backward class applicants. It requests the applicant's name, parents' names, caste, address, date of birth, age, family income, academic qualifications, Aadhar number, mobile number, and requires signatures from the applicant and authorized signatory. It also lists required self-attested documents to attach including caste certificate, income certificate, academic certificates, Aadhar card copy, and Haryana police registration/application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    APPLICATION FORM TO BE SUI}MITTED BY INSTITUTE

    Paste
    Self Attested
    Photo

    Subject: Application for nvniling conchlng for thc course \?W)'* for Scheduled
    Caste nnd Bnckwnrd Clnsses npplicunts.

    RJMa'am/Sir.
    I
    tcnder nry willingttcss lilr coursc in rcfbrcncc to free coaching
    sponsored by tho Wollirrc ol'schodulocl CustJ un.t tlacL*arcl Classes Department.
    l. Nanre ol'thc Ccntrc
    2. Centrc [.ocation
    3. Session

    4. Name ol'thc Applicunt (tN ln,(x,K l,r,:,t"1.t,:ns)

    5. Irather/tlusbandNarnc
    6. Mothcr Namc
    7. Castc

    8. Cornplctc Addrcss

    9. District
    10. Date ol'Ilirth
    I L Age as on (l)A't'li otf strll\ilssloN otr,\l'l,t,l(,A,t,toN)
    12. Farnily Annual lnconrc
    13. Acadcnric Qualilication
    14. Aadhar No.
    15. Mobilc No.

    The above fhcts arc truc urrd rrothing hus bcctr corrcculcd thcrcin

    Date: (Signuturc of thc Applicant)

    Counter Sign by DWO: (Slgnuturc & Stamp of Authorized Signatory)


    SELF ATTESTIID DOCUMIINTS MUST BtI ENCLOSED:-

    l. Castc Cortilioatc (issuccl lry llcvcnuc Authority).

    2. Iranrily Annual lrrconrc ccrtilicutc (issucd by [{cvcnr.rc Authority).

    3. Acadcmic Qualilication clcrtil'icutss us per rccluiromcnt ol'oxam.

    4. Copy ol'Aadhaar Curcl.

    5. Ilaryana I'olicc lixitttt l{cgistrution/Alrplicution lronn nrust bo attached.

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