Online Form Price Rs.

50/-

SRI GURU HARKRISHAN (Pvt.) INDUSTRIAL TRAINING INSTITUTE

TILAK NAGAR, NEW DELHI 110018
(UNDER THE AEGIS OF DELHI SIKH GURDWARA MANAGEMENT COMMITTEE)
APPLICATION FOR ADMISSION
Sr. No.
For Office Use Only For Document Verification Officer Note :
Background
Trade Alloted....................................................... of the photograph
. should be white
Roll No.................................................................
Note : Sikh
To Be Filled in Block Letters as Per Tenth Class Certificate Candidates should
affix Photograph
in TURBAN /
1. Name of the Candidate................................................................................................... DUPATTA

2. Date of Birth (in figures)............../......../.......................Religion..................................................................

vt.)
3. Fathers Name.............................................................Mother
I ND U
STR Name..........................................................
( P IAL
.
A N T
Occupation..............................................Local Guardians Name...............................................................
H

RA
S
U HARKRI

4. Candidate Aadhar (UID) No........................................................................................................................

IN I
5. Address : Permanent Correspondence

N G IN S T
..................................................................... ...............................................................

...................................................................... ...............................................................
R
GU

IT

Pin Code.....................State...........................
I Pin Code.....................State....................
UT
SR E
Telephone No................................................ Telephone No.........................................
TILAK NAGAR
6. Educational Qualification
vIcwrI qW praupkwr
ividAw I Maximum Marks CGPA / % of
Class Year Board Subjects
Marks Obtained marks
10th

12th

7. Trade (Tick Mark against your preference.)

(A) Mechanic Motor Vehicle (B) Electrician

(C) Mechanic Refrigeration & Air Conditioner (D) Electronics Mechanic

(E) Computer Operator & Programming Assistant (F) Physiotherapy Technician

8. If belonging to SC/ST/OBC, mention the category...................................................................................................................

(Attach the certificate)
.
I Certify that Information given in item Nos. 1 to 8 is correct to the best of my knowledge and belief.
Attach the following Self Attested Documents along with the Application Form
1. Character Certificate 2. Mark Sheets with Certificates 3. Cast Certificate

4. Current Residence Proof 5. Candidate Aadhar Card 6. Passport size Photo

(Non-Attested) 02 nos.
If selected , I am prepared to undergo training abide by the rules & regulations laid down by the Institute if I take part in any
undesirable activity, the Institute management will have every right to discharge me from the Institute.

Signature of the Candidate Signature of the Father / Guardian

Sr. No. Acknowledgment Receipt

(for office use only)

1. Name of Candidate..................................................................................2. Trade.......................................................................

3. Father Name............................................................................................4. Date..........................................................................

Signature........................................