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NILEM Application Six

The document is an application form for a 6-month diploma course at the National Institute of Labour Education and Management (NILEM) in Chennai, India. It requests information such as the applicant's name, address, date of birth, educational qualifications, employment history, and details of a Rs. 2,500 demand draft for payment of fees. The applicant must also declare that they will abide by NILEM's rules and regulations and acknowledge that the course they are applying for is not recognized by AICTE. The completed form and demand draft should be mailed to NILEM's Chennai address.

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0% found this document useful (0 votes)
2K views1 page

NILEM Application Six

The document is an application form for a 6-month diploma course at the National Institute of Labour Education and Management (NILEM) in Chennai, India. It requests information such as the applicant's name, address, date of birth, educational qualifications, employment history, and details of a Rs. 2,500 demand draft for payment of fees. The applicant must also declare that they will abide by NILEM's rules and regulations and acknowledge that the course they are applying for is not recognized by AICTE. The completed form and demand draft should be mailed to NILEM's Chennai address.

Uploaded by

rcvrkrishna30
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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NATIONAL INSTITUTE OF LABOUR

EDUCATION AND MANAGEMENT (NILEM)


59, Second Street, Parameswari Nagar, Adyar,
Chennai – 600 020. INDIA.
E-mail : [email protected], [email protected], AFFIX YOUR
PHOTOGRAPH
Web site: www.nilem.com, HERE
Phone: 91-44–42115296, 24911443

APPLICATION FORM – 6 MONTHS


For Office use

Regn. Number :

FILL THE APPLICATION NEATLY IN CAPITAL LETTERS


1. Name of the Diploma Course :
you wish to join

2. Name of the Applicant :

3. Address for Correspondence :


(Contact Phone No., Mail ID if any)

4. Date of Birth : Age : Yrs.

5. Nationality : 6. Sex :

7. Educational Qualification :

8. Employment Record (if any)


Designation :
Office Name, Address and Phone No. :
Period of Employment :

9. Details about payment of Fee


Name of the Bank : D.D. Number :
Date : Amount :

10. I declare that the particulars given above are correct and that I will, if admitted, abide by the rules &
regulations of NILEM.

11. I am aware of the fact that the course I desire to join is NOT recognised by AICTE
.
Date :

Place : Signature of the Applicant


ENCLOSURE :
1. Xerox copies of (a) Date of Birth (b) Educational Qualification.
2. Demand Draft for Rs.2,500/- (in favour of NILEM payable at CHENNAI)
Please send the Enrolment Form, Demand Draft & Enclosures to NATIONAL INSTITUTE OF
LABOUR EDUCATION AND MANAGEMENT, 59, SECOND STREET, PARAMESWARI NAGAR,
ADYAR, CHENNAI – 600 020, INDIA. Phone: 91-44 –42115296. E-mail : [email protected]

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