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Candidate Registration Form: Address Details

This document is a candidate registration form that collects personal information such as name, contact details, address, family details, education and bank account information. It also collects information on gender, date of birth, caste, religion, disability and minority status. The form is used to register candidates for training programs.

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johnsonasurabcm Mundry
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240 views2 pages

Candidate Registration Form: Address Details

This document is a candidate registration form that collects personal information such as name, contact details, address, family details, education and bank account information. It also collects information on gender, date of birth, caste, religion, disability and minority status. The form is used to register candidates for training programs.

Uploaded by

johnsonasurabcm Mundry
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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CANDIDATE REGISTRATION FORM

ATTENDANCE ID DATE OF ENQUIRE :

CANDIDATE ID SOURCE OF WALK-IN :

* NAME IN FULL

* GENDER MALE FEMALE


* AADHAR NO

* DATE OF BIRTH : *AGE

* CONTACT NO 1.

* CONTACT NO 2.

* E-MAIL ID

* ADDRESS DETAILS
HOUSE NO: STREET NAME:

LANDMARK :
CANDIDATE
ADDRESS
VILLAGE : MANDAL :

DISTRICT : PINCODE :

CASTE RELIGION

ANY PHYSICAL DISABILITY :


MINORITY YES NO
If Yes Please Mention YES NO

* FAMILY DETAILS
* FATHER NAME * MOTHER'S NAME

* FATHER OCCUPATION * FAMILY ANNUAL INCOME

* EDUCATIONAL QUALIFICATION
SCHOOL / COLLEGE YEAR OF MARKS SECURED / MAX.
S.NO QUALIFICATION STREAM
NAME. PLACE PASSING MARKS

* CANDIDATE BANK AC DETAILS

BANK NAME BANK BRANCH NAME

BANK A/C NO.

BANK IFSC NO.

* CANDIDATE FAMILY DETAILS


S.NO NAME RELATION AGE OCCUPATION CONTACT NO
For Office Use
To be filled by Training Partners
Trainer Name .................................................... Job Role ........................................................................
Batch ID : .................................................... Batch Start Date ............................................................
Batch End Date ............................................................ Assessment Date ...................................................

SHRI TECHNOLOGIES Code of Conduct for Students registered in the PMKK / PMKVY 4.0 Program

General
Students should conduct themselves in worthy manner in their dress, demeanor, and sense of discipline Original
Documents will have to be produced for verification at the time of joining the course. Students who have arrears
or have not completed all the requirements for the qualifying academics in any respect will not be eligible for the
Training Programs. Suppression or misrepresentation of facts in this regard would be considered as violation of
the regulation and the student would forfeit admission with immediate effect

Attendance
Attendance is marked at the commencement of the class
Students must have a minimum of 95% attendance to qualify for He/She final assessment. Leave application
will be accepted only if the actual attendance is above 85%. No student should absent himself / herself from
classes without the prior permission of the Student Counselor obtained in writing.

Assessments & Certification


Periodic assessments in all the subjects will be conducted by SHRI TECHNOLOGIES. Assessment will be in the form
of online quiz, presentations, practical's written tests, and assignments. Students should pass the internal assessment
conducted duri ng the course as well as the external assessment to be eligible for the certification. Minimum pass
percentage for each of the NOS's (National Occupational Standards) is 80%. Assessment will be conducted by the
NSDC I Sector Skills Council nominee.

Documents
Students are responsible for providing / submitting all the genuine following documents.
1. Aadhar Card Copy, 2. Academic Proof Copy, 3. Bank Account Details Copy, 4. Caste Certificate Copy,
5. Income Certificate Copy, 6. Ration Card Copy, 7. Passport size 5 photos.

Declaration :
I have read and understood all the points in this Student Agreement/Regulation and agree to abide by them.

Student Signature :

Trainer Signature :

Centre Head Signature :

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