Bharat Sanchar Nigam Limited, Regional Telecom Training Centre

(ISO 9001:2008 Certified Institution), Gachibowli, Hyderabad –500 032

Registration Form
Name of the Project/Course: ___INPLANT / INDUSTRIAL TRAINING______
Telecom- Advanced Telecom Advanced CSE CSE CSE Advanced with
Course Applied:
Basic Telecom with Specialization Basic Advanced Specialization

Application For the Batch Commencing From (DDMMYYYY)

Mr Ms
1. Name of Candidate:
(Same as to be printed on certificate)
(Ex.1: Thota Bharath Kumar Ex.2: Kumari T.S.)

2. Date of Birth: (DDMMYYYY)

3. Father’s Name: _________________________________________
4. Aadhaar Number: Passport size
5. Nationality: ________________ Category: Genl OBC SC ST Photo
(Please put √ mark on the required field)
6. Address for Correspondence: __________________________________
_________________________________________
_________________________________________
7. Contact Phone & Mobile No.
Note: If the Mobile Number is of AP/TS then write “-“ in first Box, For other State numbers write “0” in
first Box
8. Parents / Guardians Phone No.
9. E-Mail for contact: - ________________________ @ ________________
10. Name of College:
(Please write full college name
Ex: St. Mary’s Engineering College)
11. Address of College
12. Qualification: BE B.Tech Year II III Branch ECE ETM EIE CSE IT Other ______________
(Please put √ mark on the required field)
13. Consolidated Percentage of Marks as on date: _________ %
14. Hostel facility Required: (Please put √ mark on the required field) Yes No
15. Documents Enclosed: College ID Card Aadhaar Card College Permission Letter
( If Permitted by College)

I, _____________________________________ certify that the information furnished above is true. I will

attend all the Scheduled classes regularly throughout the program and obey all the Rules and Regulations of
the BSNL RTTC, Hyderabad. I Will not claim any employment or employment assistance from BSNL.

Signature of Candidate
For Official Use (To be Filled by RTTC Staff)
Reg No. Registration Fee
Invoice No. Invoice No.
Date Date
Registration Fee
Receipt No. Receipt No.
Date Date
`.
Signature of the Official