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BHARAT SANCHAR NIGAM LIMITED REGIONAL TELECOM TRAINING CENTRE THIRUVANANTHAPURAM – 695 040 APPLICATION FOR THE

BHARAT SANCHAR NIGAM LIMITED

REGIONAL TELECOM TRAINING CENTRE THIRUVANANTHAPURAM – 695 040

APPLICATION FOR THE TRAINING PROGRAMME ON BSNL CERTIFIED OPTICAL FIBER COMMUNICATION ENGINEER Important Notes: (i)
APPLICATION FOR THE TRAINING PROGRAMME ON
BSNL CERTIFIED OPTICAL FIBER COMMUNICATION ENGINEER
Important Notes: (i) Before filling this form, read the brochure carefully.
(ii) All entries should be made legibly.
1
Name
Please affix one
recent passport
size Photograph
without
attestation
2
Father’s Name
3
Age and Date of Birth
4
Gender (Please put v mark)
Male
Female
5
Nationality
6
Address for Communication
7
Permanent address
Educational Qualification
Branch/
Percentage of
(Indicate Degree/Course Completed)
Specialisation
Marks obtained
8
9
Brief description about work
experience (If applicable)
10
Mobile No
11
Email id
12
Batch Applied for
13
Whether hostel facility required?
(Please put v mark)
Yes
No
14
Registration fee: (DD for Rs. 200/, in favour of A.O. (Cash), O/o CGM, BSNL, Thiruvananthapuram)
DD No.
Date
Name of Bank
Branch Address
Amount (Rs.)
(Applicant should write Name, Course applied for, on the reverse side of the Demand Draft)

DECLARATION I do hereby declare that all the statements made in the application are true, complete and correct to the best of my knowledge and belief.

Place:

Date:

(Signature of the Applicant)