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    Regn Form

    Uploaded by

    Jinto Jacob

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Regn Form

    Uploaded by

    Jinto Jacob
    11 views1 page

    Original Title

    regn form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views1 page

    Regn Form

    Uploaded by

    Jinto Jacob

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    mPpLrjh; nwjlapkj izf'k{k.

    k dsUnz]
    ADVANCED LEVEL TELECOM TRAINING CENTRE,
    xkft;kckn@GHAZIABAD – 201002
    vYV lsUVj
    izf'k{k.k ds fy, iathdj.k@ Registration for Training
    ch-,l-,u-,y izfrHkkxh@BSNL Trainees

    ikB~;Øe dk uke:
    Course Name: ………………………………………………………………………………………………………………………………………..
    cSp uå- :
    Batch No.: …………..
    vof/k: izkjaHk frfFk: Lkekiu frfFk:
    Duration: Start Date: End Date:
    izf'k{kq dk uke: ikB~;Øe esa 'kkfey gksus dh frfFk:
    Name of the Trainee: Date of Joining the course :

    ,p vkj la[;k: TkUe frfFk: fyax : iqå@ L=hå


    HR Number: DoB: Gender: M / F
    D D M M Y Y Y Y

    inuke: bdkbZ@,l,l, o ifjeaMy:


    Designation: Unit/SSA and Circle:
    izf'k{kq dk irk ,oa dk;kZy;: vkokl:
    laidZ lwpuk Office: Residence:
    Trainee’s
    address and Contact
    information Qksu: QSDl:
    Phone: Fax :
    ekså:
    Mobile:
    bZ esy vkbZMh :
    Qksu uaå-:
    Phone No:
    E-mail id :
    fu;a=.k vf/kdkjh dk inuke dk;kZy; dk irk:
    ,ao laidZ lwpuk Office address:
    Designation and contact information
    of the controlling officer
    Qksu: QSDl:
    Phone: Fax :
    ekså: bZ esy vkbZMh :
    Mobile: E-mail id :
    gkWLVy dk uke: dejk uaå- : Nk=kokl esa vkus dh frfFk:
    Name of the Hostel : Room No. Date of joining the hostel:
    ;fn Nk=kokl esa ugh Bgjs gSa rks Bgjus
    dk LFkkuh; irk ,ao VsyhQksu uå
    In case not staying in hostel, local
    address of stay and telephone no.
    vR;ko';d fLFkfr esa laidZ gsrq O;fDr
    dk uke ,oa VsyhQksu uacj
    Name and telephone number of the
    person to be contacted in case of
    emergency
    dksbZ vU; lwpuk
    Any other information

    izf'k{kq ds gLrk{kj
    LFkku@Place: Signature of the Trainee
    fnukad@Date:

    Document No: QP/09/FMT/01, Issue no:1, Date of issue: 31-08-13, Issued by: MR, ALTTC

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