| For clarification pl Contact --- Ms.R.Deepa - 9443180851 , Mr.Jayachandran 9865559122 |
REGISTRATIONS WILL BE OPEN FROM 04/02/2013 till 14/02/2013
( registrations done before the start date will be considered invalid) |
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Fields marked with * are mandatory
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| Training/Project |
2013 - 2014
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| Personal Details |
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| Name of the Student * |
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| Father's Name * |
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| Sex * |
M
F |
| Date of Birth * |
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| Community * |
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| District |
* |
| State |
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| Pincode |
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| Contact Mobile Number(s) |
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| Email Address |
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| Name of the Course * |
Note :
Candidates applying for B.E / B.Tech must have completed VI Sem during Apr,May, Jun
Diploma - must have completed IV Sem during Apr,May, Jun |
| Discipline * |
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| Period of Study |
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| Name of the College |
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| Address |
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| District |
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| State |
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| Pincode |
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| Other Details |
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| Select Type of Candidate - WARD/ CISF/INDCOSERVE/Non WARD / Project Affected Person ? * |
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| If Yes, |
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| CPF/EPF No / Application No./ID No |
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| Name of the Employee |
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| Designation |
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| Division / Unit in which he/she is working |
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| Whether the student has already done InPlant Training in NLC Ltd.,? * |
Yes
No |
| If Yes, |
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| Period |
From
To
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| Unit |
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