Annexure - Form - III

Application for Free Training Programe

Course Name:

Application No :
Date of Receipt :
Documents Verified by :
Remarks :

.……………….…………………………………………………….…..Office Use…………………..……………………………………………………

To
The Head - CED
Computer Education Division
Electronics Corporation of India Ltd
Hyderabad.

Dear Sir, Passport Size Photograph

Kindly select me for the free training.
The following are my details:

Name of the candidate ( in Capital Letters ) :

Father’s/ Guardian’s / Spouse’s Name :

Father’s/ Guardian’s / Spouse’s Contact No. :

Gender Male / Female

Date Of Birth Age

Permanent Address

Door No / Flat No :

Building / House No :

Street / Road :

Colony/Nagar/Village/Area :

Place / Town

District Pincode

Aadhar Card No :

Tel No. / Mobile No.

Community OC BC MBC SC-CTC SC ST

Religion Hindu Muslim Christian Jain Buddhist Others

E-Mail id :

Qualification Year of Passing Marks % Certificate No

Educational Qualification :

Name of the Bank :

Branch :

Bank Account Number :

IFSC Code

Whether any Govt. sponsored free training has Yes No

been already attended

If Yes, Give Details of training

Enclosures:
1. Pass Port Size Photograph – 2
2. Copy of SSLC/ HSC Certificate.
3. Copy of Community Certificate
4. Copy of Aadhar / Ration Card.
5. Bank Pass Book Copy .