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Application Form 2013 New PDF

This document is an application form for an HFSS Certified Course offered by the International Centre for Radio Science in Jodhpur, India. The form requests basic applicant information like name, contact details, education history, employment details, and payment information. It also lists the terms and conditions of the course, including that course fees are non-refundable, payment is due before the start of the course, and misbehavior may result in cancellation of candidature.

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113 views2 pages

Application Form 2013 New PDF

This document is an application form for an HFSS Certified Course offered by the International Centre for Radio Science in Jodhpur, India. The form requests basic applicant information like name, contact details, education history, employment details, and payment information. It also lists the terms and conditions of the course, including that course fees are non-refundable, payment is due before the start of the course, and misbehavior may result in cancellation of candidature.

Uploaded by

rahul05singha
Copyright
© Attribution Non-Commercial (BY-NC)
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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INTERNATIONAL CENTRE FOR RADIO SCIENCE

An Institution of Laxmi Narayan Calla Education Foundation


Affiliated to Jai Narain Vyas University, Jodhpur
Reg. 61/Jodhpur/1997-98
HFSS Certified Course - 2013
Application Form

For Office use only:

1. Name : ........................................................................................................
2. Father's Name : ...........................................................................................
3. City: ...................................State: ............................... Country: ..........................

Paste
Recent Color
Photograph

4. Gender: ..................................................................................................................
5. Date of Birth: ............................................
6. E-mail ID: .................................................. Mobile No. : .....................................................
7. Educational Qualification:
Qualification

Degree

School/College Name

Board/University

Year of
passing

Percentage/
Aggregate

Secondary
Sr. Secondary
Graduation
Post Grad.
(if any)
Others

8. Job Title:................................................................................................................
9. Job Profile: ............................................................................................................
10. Address for Correspondence:.................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
1

11. Category: Student

State Govt. Sponsored

Central Govt. Sponsored

Industry Sponsored

(Please Enclose the copy of verification Certificate.)

12. Start of course: ..................... DD/MM/YYYY


13. From where did you get information about course :
Google

Our Website

Friends

Other (please mention)..............................................................................................................


14. Bank Demand Draft details:
Amount:.........................................

Issuing bank:...................................................

DD No. :........................................

Date:.............................................................

Disclaimer:
I agree to all the terms and conditions and all the information provided by me is true and correct and I
shall abide by the rules of the training course failing which the management shall hold the right to
cancel my candidature.

Date:

Signature

Terms and Conditions(i) Course fee is fixed and published by ICRS however ICRS reserves the right to review and change fees. Fee is not refundable, in any case.
(ii) The course fee includes lectures, training material, manuals and system allotment as appropriate to the course.
(iii) Payment of the course fee should be received by ICRS before 7 days of starting the course.
(iv) No training services will be provided unless payment conditions have been satisfied.
(v) Payment should be made by DD only. The DD will be drawn in favor of Director, ICRS, payable at Jodhpur. Please send the Demand Draft along with the filled
Application form and verification certificate at below mentioned Address via Speed Post:
Prof. O.P.N. Calla
Director,
International Centre For Radio Science,
Plot no 1, Rano Ji Ka Baag, Khokhariya Bera,
Nayapura, Mandore, Jodhpur - 342304 (Raj.)
Phone: 0291-2571030
Note: Mention "Application for HFSS Training" on the Top of the Envelope.
(vi) ICRS strives to improve the content of its courses and therefore reserves the right to modify the specification of a course without notice to the candidate. A course title,
duration, cost, content and location are liable to change at any time.
(vii) It is the Candidate's responsibility to ensure that the course is suitable for their requirements. All candidates should have read and understood the course outline and met the
necessary prerequisites.
(viii) ICRS reserves the right to ask a candidate to leave the training event if the candidate does not meet the course prerequisites.
(ix) Any act of misbehaving will cause cancellation of candidature.
(x) For any other kind of queries regarding the course please mail us at [email protected].
(xi)The Organizer will not assume any responsibility whatsoever for any damage or injury to persons or property during the Course.

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