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

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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.
ANNEXURE-I Declaration/undertaking –for OBC Candidates only I, _________________________________ son/daughter of Shri ___________________ resident of village/town/city ______________________district __________________ State ____________________ hereby declare that I belong to the _________________ community which is recognized as a backward class by the Government of India for the purpose of reservation in services and admissions in Centrally funded Educational Institutions as per orders contained in Department of Personnel and Training Office Memorandum No.36012/22/93- Estt. (SCT), dated 8/9/1993. It is also declared that I do not belong to persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above referred Office Memorandum, dated 8/9/1993, which is modified vide Department of Personnel and Training Office Memorandum No.36033/3/2004 Estt.(Res.) dated 9/3/2004. Place : Date : Signature of the Candidate Declaration/undertaking not signed by Candidate will not be accepted. Name of the Candidate ___________________________________________________ Roll No. / Call letter No.___________________________________________________ Name of Course/Programme _______________________________________________
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Adm_Form _ ADC_2009.pdf - National Institute of Foundry & Forge ...

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