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

11. Details of Examinations Passed:
Level
X th
Name of
Examination
Name of
Institution
Board/ University/
State Board
of Technical
Year of
Passing/
Appearing
Subjects
XII th
B.Sc./Diploma
(I Year)
B.Sc./Diploma
(II Year)
B.Sc./Diploma
(III Year)
12. Declaration by the Applicant:
I hereby declare that all the particulars stated in this application and enclosures, if any, are true to the best of
my knowledge and belief. I have read the Information Brochure and satisfied myself that I fulfill all the
eligibility requirements prescribed. In the event of my being found ineligible even at a later date, I understand
that I will be denied the opportunity to appear in the Counseling/Test, if already admitted, my admission will
be cancelled.
If admitted I promise to abide by the rules and norms of discipline of the Institute.
Date Signature of Father/Guardian Date Signature of Applicant I
13. Certificate from the Head of the Institution last attended/attending
I certify that the statements under 1, 3, 11 and 12 made by the applicant with photograph pasted on this form
is attested by me, are correct as per the records of the Institute.
Signature
Date
Name of the Head of the Institution: .....................................................................................................................
last attended/attending (in capital letters)
Seal of the Institution
N.B.:
All the information required against 1 to 13 above must be furnished. Incomplete application
will be summarily rejected.