ADMISSION FORM

FILL-UP IN THE BLOCK LETTERS

Course Name

Centre Code

Name of Student

Father's / Husband's / Guardian's Name

Address Vill

P.O.

District

Mobile

DOB

Education Qualification

Training Centre

Session

I, Solemnly declare that the above statement are true to the best of my knowledge. The organizer has every right to cancel the admission without showing any reasons

Date :

Signature of Candidate

FILL-UP IN THE BLOCK LETTERS

Course Name

Centre Code

Name of the Candidate

Father's / Husband's / Guardian's Name

Address Vill

P.O.

District

State

Sex

Male Female

DOB

Academic Qualification (Last Passed):

a)Examination

b)Board / University

c)Year

Signature of Organiser

Signature of Candidate

For NEFT or RTGS Bank Details:--

Name -JANADEV SAHA

Branch -Collegepara Branch

SBI-35001328340

IFSC-SBIN0012461

For UPI Payment:--

Upload Payment Image