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Central Tool Room & Training Centre: Form No.: F/ CTTC/ Bbs /Trg/Reg

The document is a registration form for a training program at the Central Tool Room & Training Centre (CTTC). It collects information such as the applicant's name, date of birth, gender, category, address, contact details, educational qualifications, employment status, and how they heard about the program. The applicant must provide their signature to declare that the information is true and complete. The form also has sections for office use to record the applicant's roll number and batch number.

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riteshsamantray
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116 views1 page

Central Tool Room & Training Centre: Form No.: F/ CTTC/ Bbs /Trg/Reg

The document is a registration form for a training program at the Central Tool Room & Training Centre (CTTC). It collects information such as the applicant's name, date of birth, gender, category, address, contact details, educational qualifications, employment status, and how they heard about the program. The applicant must provide their signature to declare that the information is true and complete. The form also has sections for office use to record the applicant's roll number and batch number.

Uploaded by

riteshsamantray
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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Form No.

: F/ CTTC/ BBS /TRG/REG

CENTRAL TOOL ROOM & TRAINING CENTRE


REGISTRATION CUM ADMISSION FORM FOR TRAINNING PROGRAMME
(PLEASE FILL IN USING BLOCK LETTERS AND PUT MARK IN THE BOX)

NAME OF THE COURSE: ________________________________DURATION_______


FROM: ______________________ ___TO __________________________________

Paste your
latest passport
size
photograph

1. First Name : ______________Middle Name______________ Last Name___________


2. Fathers Name: __________________________________
D D
M M
Y Y Y Y
3. Date of Birth
:
4. Gender

: Male

5. Category

: GEN

Female
OBC

SC

6. Physically Challenged :

YES

NO

7. Whether Minority

YES

NO

If Yes, Minority Type

ST

:_______________

8. Educational Qualification:____________________ UID(AADHAR CARD NO.):_____________


9. Address Details : ____________________________________________________________
City/Town: State: 10. Mobile/ Phone No.:
(Compulsory)
11. Fee Type
: Self
12. Present Status : Self Employed

District:Pin
:Email:Sponsored

Course Fee in Rs._______________

Wage Employed

Unemployed

13. Employers Address:


(If employed)
14. Guest House / Hostel :
Required
/ Not required
(On basis of availability)
15. How did you came to know about CTTC : Newspaper / CTTC Trainees / Friends / Any Other source
I do hereby declare that the information given in this application is true and complete to the
best of my knowledge & belief.
Place:
Date:

Signature of the Applicant

For Office use only


ROLL No. :

BATCH No. :

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