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APPLICTION FORM FOR ADMISSION TO BASIC COURSE IN HINDI

By Henry Flores,2015-03-08 01:37
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APPLICTION FORM FOR ADMISSION TO BASIC COURSE IN HINDI

    APPLICTION FORM FOR ADMISSION TO BASIC COURSE IN HINDI

    (ONLY THROUGH ENGLISH MEDIUM)

NOTE: a. Please tick the option of your choice.

    b. Please leave one box blank after every word and use only

    blue/black ball pen.

     Affix passport Size recent photograp 1. NAME OF APPLICANT

     (INDICATE WHETHER

    MR/MRS/MISS)

    2. SEX MALE

     FEMAL

     M M D D Y E A R

    3. DATE OF BIRTH

    4. FATHER'S NAME

    5. NATIONALITY

    6. POSTAL ADDRESS A IN NATIVE COUNTRY

     (FLAT/HOUSE NO., CITY

     STATE, COUNTRY, PIN

    B POSTAL ADDRESS IN

    INDIA

     (FLAT/HOUSE NO., CITY

     STATE, COUNTRY, PIN

    7. PHONE NO. IN INDIA

     MOBILE NO.

    8. MOTHER - TONGUE

    9. PROFESSION

    10. ACADEMIC QUALIFICATIONS

    11. KNOWLEDGE OF HINDI YES

     NO

    IF YES, INDICATE ABILITY READING

     WRITING

     SPEAKING

    12. CERTIFICATE/DEGREE

    IN HINDI, IF ANY

    13. DETAILS OF PASSPORT (A) PASSPORT NO. (B) ISSUING AUTHORITY (C) DATE OF ISSUE (D) PLACE OF ISSUE (E) VALID UPTO

    14. DETAILS OF VISA (A) DATE OF ISSUE (B) VALID UPTO (C) TYPE OF VISA

    15. PARTICULARS OF FEE CROSSED I.P.O. NO.

    CROSSED BANK DRAFT NO.

    DATED

    AMOUNT

    DATE SIGNATURE OF APPLICANT

The application should be addressed to

     The Deputy Director

     Department of Correspondence Courses

     Central Hindi Directorate

     West Block-7, R.K.Puram

     New Delhi-110066 (INDIA)

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