Application for advanced training course
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Prospectus
* Mandatory Fields
1.
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Candidate Details:
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Name of the candidate
*
Address
*
District
*
State
Andhra Pradesh
Bihar
Chattisgarh
Delhi
Goa
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Lakshadeep
Madhya Pradesh
Maharashtra
Manipur
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
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Pin Code
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Phone
*
Email
2.
Birth Details :
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Place of birth
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District
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State
Andhra Pradesh
Bihar
Chattisgarh
Delhi
Goa
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Lakshadeep
Madhya Pradesh
Maharashtra
Manipur
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
3.
Date of birth in X'ian era
(dd/mm/yyyy)
Age
4.
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Educational qualifications
5.
Whether belongs to SC/ST category
6.
Father's name
7.
*
Present post held by the candidate & nature of work
8.
Scale of pay and pay drawn at present
9.
If Govt. servant, length of service and particulars of post held with scale of pay and length of service in each post
10.
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Nature of Present employment ie. whether temporary or permanent
Temporary
Permanent
11.
Name and address of two responsible persons to whom a reference about the candidate could be made.
Name
Address
12.
Sponsoring Authority Details
under C.I (R & L) Rules, 1958
Name of the sponsoring authority
Address
Registration Number
13.
Whether conduct certificate from two gazetted officers have been enclosed. If so name and address of the officers
Name
Address
14.
Particulars about the experience in coir industry gained by the candidate (To be furnished briefly)
*
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