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Chasnupp Centre of Nuclear Training (CHASCENT)

P.O. Chashma Barrage Colony, Kundian, Distt: Mianwali


APPLICATION FOR POST DIPLOMA TRAINING
(Nuclear Power Plant Technology)
Paste one
1. NAME: _________________________________________________________________ passport size
photograph
2. FATHER'S NAME: ________________________________________________________________ here
3. NATIONALITY: ___________________ 4. DATE OF BIRTH: _______ / _____/___ __/
Day Month Year
5 .Age (as on advertised date) (according to advertisement) : __________________
6. RELIGION: ______________________________________ 7. SECT: ______________) (e.g. SUNNI / SHIA / ......)
(e.g. Muslim / Christian / Hindu / Ahmedi / ....)
8. NATIONAL IDENTITY CARD NO.:_________________________ 9. DOMICILE: ________________________________
10. POSTAL ADDRESS: _________________________________________________________________________
11. PERMANENT ADDRESS: ________________________________________________________________________________
__________________________________________________________________________________________________________

12. PHONE NUMBER WITH AREA CODE:_________________________ 13. E-MAIL_________________________________

14. FIELD OF QUALIFICATION:

Chemical Electrical Electronics

Mechanical. Instrumentation .

EXACT TITLE OF FINAL


Diploma__________________________________________________________________

15. DETAILS OF EDUCATIONAL QUALIFICATIONS:

CERTIFICATE/ NAME OF SCHOOL/ YEAR OF DIVISION/ PERCENT- POSITION


DEGREE COLLEGE PASSING GRADE/MARKS AGE (IN BOARD)
OBTAINED (%) IF ANY
Matric .or equivalent

F.Sc .or equivalent


D.A.E.
Any Other

16. FINAL RESULT DECLARED ON_________________(Please don’t apply if final result is not declared)

17. Total Field Experience_____ /______/____/____(Name of


Department(s)/Organization(s)__________________________
Years/Months/ Days
________________________________________________________________________________________________________)

18. CENTER WHERE YOU WOULD LIKE TO APPEAR FOR WRITTEN TEST IF CALLED:

Lahore Islamabad Peshawar Karachi


19 .BANK DRAFT NO._______________________ NAME OF BANK ______________________________________
DATED: ___________________________ ISSUING BRANCH
___________________________________________
20 . I fully understand that any misrepresentation by me will be sufficient cause for cancellation of this application or immediate
dismissal later on even if I have been accepted for the course. If my application is accepted, I will abide by all the rules and
regulations now in force, or which may become effective after I join.

Date:_______________ ____________________
Applicant's Signature

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