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Application Form For Participation in Short Term Course

The applicant provides basic contact information and qualifications for participation in a short term course offered by the National Institute of Science Communication and Information Resources. The application requests the applicant's name, address, contact details, date of birth, qualifications, any computer courses or sponsoring organization, whether accommodation is needed, and bank draft information for course fees. It directs the completed form to be mailed to the Marketing and Customer Services Division of NISCAIR in New Delhi.

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52 views2 pages

Application Form For Participation in Short Term Course

The applicant provides basic contact information and qualifications for participation in a short term course offered by the National Institute of Science Communication and Information Resources. The application requests the applicant's name, address, contact details, date of birth, qualifications, any computer courses or sponsoring organization, whether accommodation is needed, and bank draft information for course fees. It directs the completed form to be mailed to the Marketing and Customer Services Division of NISCAIR in New Delhi.

Uploaded by

Md Arshad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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National Institute of Science Communication and Information Resources (NISCAIR)

Application Form for Participation in Short Term Course

Course Title:
______________________________________________________________
The Chosen Batch with dates:
________________________________________________
Name of the Applicant (in full, in BLOCK letters)
Mr/Mrs./Ms.
_____________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Phone No. ________________Fax No. ___________________ E-Mail:
________________
Date of Birth :
_____________________________________________________________
Qualifications (Starting from Graduation)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Computer Courses attended:
__________________________________________________
Sponsoring Organization(if
any)_________________________________________________
Organization Address
______________________________________________________
______________________________________________________
______________________________________________________
Designation: ___________________ Period of Service: __________________

Whether Accommodation facility needed(Yes/ No):


________________________________

Demand Draft No.______ _________________________ Date:


______________
Amount: _______________________________ Drawn on:
__________________________
Payable to Director, NISCAIR, New Delhi.

Date:
Signature
Mail to :
Marketing and Customer Services Division
National Institute of Science Communication and Information Resources (NISCAIR)
14, Satsang Vihar Marg
Spl. Institutional Area
New Mehrauli Road
New Delhi - 110 067

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