| Name of the Sponsoring Organisation/Country: |
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| Name of the Course: |
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| Commencing from:- |
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| At the:- |
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Part - I
(To be completed by the nominee)
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1. Personal particulars of the nominee :
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| |
| a] Name: |
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| b] Designation: |
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| c] Date of Joining sponsoring organisation |
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| d] Male Female |
| e]
Married
Single |
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| f] Date of Birth (dd/mm/yy): |
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| g] Nationality: |
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| h] Address: |
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| i] Name, address & telephone number of person to be notified in case of
emergency: |
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| j] Food habits: Vegetarian Non-vegetarian |
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2. Educational Qualifications
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| S. No. |
Particulars of degree / diploma / certificate |
Year |
| |
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| |
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3.Give details of any other professional qualifications which you
possess
|
| S. No. |
Particulars of professional degree / diploma /
certificate |
Year |
| |
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| |
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4.Employment Record
|
| S. No. |
Particulars of position held |
Year |
| |
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| |
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| 5.Name and address of your employer |
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6.Details of course attended, if any, outside
your country to
upgrade your technical / professional skill |
| S. No. |
Name of the country |
Name of the course |
Duration |
Year |
| |
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| |
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| 7.State briefly, your requirements / expectations from
training |
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| Date:- |
Place:- |
Signature:- |
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