PROFORMA OF ADMISSION APPLICATION FORM FOR

ADVANCED & POST-ADVANCED SKILL COURSES

Application for Admission in the trade/institute :-_________
Name (in block letters):_____________________________
Father/Mother/Husband Name: __________________ 

Mailing Address
_______________________________________________
_______________________________________________
Date  of Birth (in Christian Era):_____________________
Marital Status (whether single or married): ____________
Nationality:______________________________________
whether SC/ST: _________________________________

In case of ward of Defence personnel- 
---children of deceased/disabled Ex-servicemen including ---those killed/disabled during peace time; 
---Children of Ex-servicemen; children of serving jawans; 
---Children of serving officers; 
---Ex-servicemen.

Indian postal order No.  (If not by cash): ______________

Qualifications:
Academic

Examination passed

Board University

Year

SUBJECTS

Division & % age of marks

Technical (ITI and others)

Examination passed

Examination body

Year & Duration

SUBJECTS

Percentage of marks

Note:

Please attach attested copies of the certificates/marks sheet of all examinations passed as mentioned above and one self addressed envelope of size 10 cms x 23 cms with the application form and also deposit cash of Rs. 15/- or postal order of Rs. 15/- .  Incomplete application not accompanied with the attested copies of the relevant testimonials/ Certificates/mark sheets and Rs. 15/- cash/Postal orders will be rejected.

Date:
Signature of  Applicant

----------cut here-------

Acknowledgement 
(to be filled by the Candidate)

Received Application form from Miss/Mrs-------------- for the trade of       ---------along with Cash/Postal order of Rs. 15/- (fifteen only)

Date:
for Principal
(NVTI/RVTI