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Application For DBRT Course

This document is an application form for admission to the DBRT course at Vigyan Ashram. It requests personal information from applicants such as name, address, contact details, education history, hobbies, and parental income. The applicant must declare that the information provided is true and that they will abide by the institution's rules regarding conduct, safety, medical expenses, and discipline. The applicant and their parents must sign to finalize the application. Required documents including school records must be attached.

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Darshan Londhe
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41 views

Application For DBRT Course

This document is an application form for admission to the DBRT course at Vigyan Ashram. It requests personal information from applicants such as name, address, contact details, education history, hobbies, and parental income. The applicant must declare that the information provided is true and that they will abide by the institution's rules regarding conduct, safety, medical expenses, and discipline. The applicant and their parents must sign to finalize the application. Required documents including school records must be attached.

Uploaded by

Darshan Londhe
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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Application Form for Admission to DBRT

Application No

Passport
size
To, photograph
Director,
Vigyan Ashram, Pabal
Tal – Shirur Dist – Pune.

Sub - Application for DBRT course.

Sir,
I am applying for the admission for DBRT course in our institute.

Personal Information –
1) Full Name - _______________________________________
2) Father Name - _______________________________________
3) Permanent Address- _______________________________________
_______________________________________
_______________________________________
4) Another way to contact
E Mail - _______________________________________
Phone No _______________________________________
Mobile No _______________________________________
5) Parents Yearly Income _______________________________________
6) Date of Birthday / /
7) Applicants Education ________________________________________
8) Hobbies & Interest ________________________________________
DECLARATION
1) I hereby declare that the information given in this application is true, if not my
admission will be cancelled.
2) I have no addiction, and if found, organization will have the right to take the
disciplinary action against me.
3) I read all that rules of the Institute; I am responsible for all the rules. Incase if I don’t
follow, organization is having all the rights to rusticate me from the course.
4) During the course I know there is a possibility of accident. I will follow all safety
rules. I am responsible for accident happened during training.
5) In the event if the student fall sick or met with accident, ashram will arrange for
emergency medical treatment to student but the treatment expenses should be paid by
student / parent.
6) I read all that rules of the Institute; I will follow all the rules. Incase if I don’t follow,
organization is having all the rights to rusticate me from the course.

Place : Student signature

Date : / / Parents signature


* Attach following documents with the application. (Photo copy)
1) School living certificate 2) Last examination mark list
Only for Office Use

Student Name - _________________________________________


Name of Course- _________________________________________
Course Fees - In word - ____________________
____________________________
Receipt No. Date of Receipt: / /

Application form verified and found correct.


Checked by Director

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