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528b433dd8562 Application Form For Admission PDF

This document is an application form for admission to a training course at the Central Tool Room & Training Centre. The application requests information such as the applicant's name, father's name, date of birth, gender, nationality, category, address, contact details, name and address of college, educational qualifications, and whether dormitory accommodation is required. The applicant must sign to declare that all information provided is true and complete.

Uploaded by

Arnab Bhattacharya
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
146 views1 page

528b433dd8562 Application Form For Admission PDF

This document is an application form for admission to a training course at the Central Tool Room & Training Centre. The application requests information such as the applicant's name, father's name, date of birth, gender, nationality, category, address, contact details, name and address of college, educational qualifications, and whether dormitory accommodation is required. The applicant must sign to declare that all information provided is true and complete.

Uploaded by

Arnab Bhattacharya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRAL TOOL ROOM & TRAINING CENTRE

(Ministry of Micro, Small & Medium Enterprises, Govt. of India)


Bon Hooghly Industrial Area, Kolkata – 700 108.
Phone: (033) 25788769/25771068 Fax: (033) 25772494
E-Mail: [email protected] , [email protected]
Website: www.msmetoolroomkolkata.com
AN ISO 9001:2008 REGISTERED ORGANIZATION
APPLICATION FORM FOR ADMISSION
(PLEASE FILL IN USING BLOCK LETTERS)
NAME OF THE COURSE APPLIED:………………………………….……………..……
Affix your
FROM (DATE)…………………………………………………………………………………. attested
Passport size
1. Name of the Applicant :…….…………………………………………… Photograph
2. Father’s Name :………………………………………………….
3. Date of Birth : D D M M Y Y Y Y

4. Sex : Male Female

5. Nationality :…………………………………………………………………

6. Category : GEN OBC SC ST MINORITY

7. Address for correspondence :………………………………………………………………….


…………………………………………………………………..
…………………………………………………………………..
Pin:……………………………………………………………...
E-Mail:………………………………………………………….
8. Contact Phone No. :…………………………………………………………………
(Compulsory)
9. Name of the College with :…………………………………………………………………
Full Address(Compulsory) ………………………………………………………………….
………………………………………………………………….
State……………………………..Pin………………………….
10. Educational/Technical Qualification:
College/Institute Name Degree/Diploma/ITI/10+2/10th Year of University
Standard Study Registration
No./Roll No.

11. Dormitory Accommodation : Required/Not Required.


(On basis of availability)

I do hereby declare that the information given in this application are true and complete to the best of
my knowledge and belief.
Place :……………………….
Date :………………………. Signature of Applicant

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