Application 1

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PART-A

Appication No. 1000004885 Training Start Date 2024-06-24 Training End Date 2024-07-06

Chargeable Category BSL Training Type NON PROJECT BASED Category OBC

Name of Student HARSHIT BHADANI Gender M

Name of Father RAJESH PRASAD BHADANI Name of Mother LEENA DEVI

Name of Institute NATIONAL INSTITUTE OF ADVANCED


Name
MANUFACTURING
of University TECHN
NATIONAL INSTITUTE OF ADVANC

E-mail of Institute [email protected] Training Weeks 2

Branch METALLURGY AND MATERIALS ENGINEERING


Semester 4 Year 2

E-mail of Student [email protected] Mobile No. 9835629213

Address JCB HOSTEL NIAMT RANCHI ,JCB HOSTEL NIAMT RANCHI ,RANCHI

State JHARKHAND Pin 834003

PART-B(to be filled by On-Roll/Ex BSL Employee)

I hereby declare that I will take full responsibility for the conduct of the student during the training period.

Signature...........

Name of BSL On-Roll/Ex Employee:

Designation:

Staff Number/SAIL Pers. No.:

Forwarded (Signature and seal of E4 and above executive of BSL)

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