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Adm_Form _ ADC_2009.pdf - National Institute of Foundry & Forge ...

Adm_Form _ ADC_2009.pdf - National Institute of Foundry & Forge ...

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Application No. :<br />

NATIONAL INSTITUTE OF FOUNDRY AND FORGE TECHNOLOGY<br />

P.O. - HATIA, RANCHI- 834 003<br />

APPLICATION FORM FOR ADMISSION TO<br />

ADVANCED DIPLOMA COURSE IN FOUNDRY/FORGE TECHNOLOGY<br />

REGISTRATION NO.<br />

(To be filled by Office only)<br />

To be written legibly in Capital Letters in ENGLISH by the Candidate in his own handwriting.<br />

(Incomplete Application is liable to be rejected)<br />

1. Name in Full : …………………………………………………………….<br />

2. Sex : Male/Female<br />

3. (a) Date <strong>of</strong> Birth (in words) : …………………………………............………………….<br />

.........................………………………............................<br />

(b) Date <strong>of</strong> Birth (in Figures) : ………………………………………...……………………<br />

4. Address for Correspondence : ………………………..…………………………………….<br />

……………………………………………………………..<br />

Telegraphs Office<br />

: ………………….………………… Pin …………………..<br />

Tel. No.<br />

: ……………………………………..……………………….<br />

5. <strong>National</strong>ity : ……………………………...………………………………<br />

6. Caste Category (mention whichever is applicable):<br />

(i) General (ii) OBC (iii) S/C (iv) S/T<br />

Category (ii), (iii) & (iv) should attach Certificates<br />

7. Name <strong>of</strong> Father : ………………………………………….….......................<br />

8. Name <strong>of</strong> Guardian : ……………………………………………………………..<br />

Relationship with Guardian : ……………………………………………...………………<br />

9. Occupation <strong>of</strong> Father/Guardian : ………………………………………………..…………….<br />

10. Permanent Address : ……………………………………………………………...<br />

Of Father/Guardian<br />

……………………………………………….……………..<br />

……………………………………… Pin ………………...<br />

Tel. No.<br />

: ……………………………………..……………………….<br />

Please paste (do not<br />

pin) passport size<br />

PHOTOGRAPH in<br />

this space duly<br />

attested by the<br />

Head <strong>of</strong> the<br />

Institution last<br />

attended/attending/<br />

Gazetted Officer<br />

P.T.O.

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