Application for admission to Paint and Varnish Technology Course for the session 20 - 20

 

Affix passport

size photograph

duly attested

 

 

 

 

 

        (Application to be filled up in block letters)

1
Name of the Course 
 :  
 
   
2
Name of the applicant 
:
  
 
   
3
Name of father/guardian
:
  
 
   
4
Address for Communication 
:
  
 
   
5
Nationality 
:
  
 
   
6
Sex
:
  
 
   
7
Cast (State SC/ST/General)
:
  
 
   
8
Date of birth 
:
  
 
   
9
Educational Qualification
:
  
 
   

 

Examination Passed   Year of passing Board/University Marks Obtained Percentage
 

 

 

      

 

I do hereby declare that all the information provided above are true to the best of my knowledge. Any false declaration will lead to cancellation of candidature.

 

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Signature of the Candidate

 

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