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Candidate Application Form

The document is an application form for candidates applying for a course. It requests personal details like name, father's name, gender, date of birth, category, languages known, contact details, educational qualifications, permanent address, and a declaration signed by the candidate.

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shravan
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103 views1 page

Candidate Application Form

The document is an application form for candidates applying for a course. It requests personal details like name, father's name, gender, date of birth, category, languages known, contact details, educational qualifications, permanent address, and a declaration signed by the candidate.

Uploaded by

shravan
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 candidate

(For office use only)

Enrolment
No.

A. Course Name ………………………………………………………

B. Aadhar No…..................................................

______________________________________________________________________________________________________________________

I. PERSONAL DETAILS

A. Candidate’s Name (Mr./Ms./Mrs.) …………………………………………………………………..

B. Father’s/Husband’s/ Guardian’s Name………………………………………………………………

C. Mother’s Name………………………………………………………………………………………………

D. Religion Hindu Sikh Muslim Christian Others

E. Gender Male Female

F. Date of birth ………………………………………………………………………………………………………………….

G. Category Gen S/C S/T OBC PH BPL N/A

H. Person with disability : YES NO

I. Languages known ……………………………………………..

J. Mobile No. of the candidate………………………………….

K. BPL No. (if BPL Category ) …………………………………………………

L. Guardian Type (S/O, D/O, W/O, C/O)…………………………………………………

II. EDUCATIONAL DETAILS

A. General Qualification 10th 12th

B. Professional Education NTC NAC Diploma Graduate Post Graduation Non Professional

III. CONTACT DETAILS

Permanent Address : ………………………………………………………………………………………………..

…………………………………………………………………………………………………………….

Telephone …………………………………………… E-mail (optional) ……………………………………

Mobile …………………………………………… PIN code ……………………………………………….

DECLARATION

I declare that the entries made by me in this form are true to my knowledge and I understand that
I am liable for action under the law for any false information or document produced by me and I
am giving consent to access to EKYC from UID.

DATE: SIGNATURE OF CANDIDATE


PLACE: NAME

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