dcaso vkfJo?eNo iBob ;e{bf;Zfynk ftGkr,gzikp dcaso ... - SSA Punjab

APPLICATION PROFORMA
(For Students)
Participation in the Workshop on Microrganism at
PGSC, Kapurthala on 17 th & 18 th August,2012
1. Name of the student :-
2. Date of birth :-
3. Sex :-
4. Class :-
5. School name :-
6. Address :-
7. Contact no: - Mob. No. Landline no.
8. E-mail :-
SIGNATURE OF THE APPLICANT
Certificate by Principal/Headmaster
It is certified that Shri / Kumari --------------------------------------------------------------
son/daughter of -----------------------------------------------------, Class ------ who is
applicant for participation in the “Orientation Workshop on Microorganisms” at
Pushpa Gujral Science City Kapurthala is a bonafide student of --------------------------
-------------------------------- school, District-----------, State ----------------------------
Dated: ……..
SIGNATURE OF HEADMASTER / PRINCIPAL
School stamp