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APPLICATION FOR ATTENDING TRAINING

1. Name of Course *

2. Period of Course

3.Course/Registration fees

4.Name of the Applicant *

5.Address Residential *

6.Phone No *

i.Residence

ii.Mobile No

7.Age

8.Date of Birth *

9.Gender *

  Male  Female

10.Religion

11.Cast

12.Educational Qualification *

13.Experience ( if any)

14.Upload your Signature(Optional)

Declaration


I hereby state and affirm that, if selected to the above course, I shall obide by the rules and regulations laid on by the institution for the successful conduct of the course.

I Accept

(Note: * Fields Are Mandatory.)