APPLICATION / REGISTRATION FORM
1. Name of the training course applied for
2. Name of the Candidates (capital letter)
3. Father’s/ Husbands name
4. Present/Address for communication
5. Permanent Address (with pin code No.)
6(a). Contact Tel. No./ Mobile Number
6(b). Contact Tel. No./ Mobile Number
7. Email Id
7. Date of Birth:
8. Whether SC/ST/OBC/MINORITY/PH
9. Educational Qualification
10. Technical Qualification
11. Annual Income of the Family
12. Aadhar Number
13. Any other information
Note:Name of the Secretary/ President/ Manager & Address of Professional Training Associates
I hear by declares that, the statements made as above are correct & incase of any discrepancy found there in, I shall responsible for the consequences
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