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Form No.

:______________

Photograph
Passport Size

ADMISSION FORM
TEVTA – CITY & GUILDS PROGRAMME

NAME: (In block letters)

FATHER’S NAME:

Father’s Occupation: ______________________________ Monthly Income: (Rupees) __________________________

GENDER: M F DATE OF BIRTH: (dd/mm/yyyy) / /


ADDRESS:

TELEPHONE: MOB. :
with area code
-

Nationality: ___________________________________ NIC/ Form B #: _________________________________

RELIGION: ___________________________________ DOMICILE: _________________________________

E-MAIL: (In block letters) _____________________________ BLOOD GROUP: _________________________________

IF FATHER DECEASED, NAME AND ADDRESS OF GUARDIAN:

Course Applied for (Title/ Trade/ Technology): ___________________________________________________________

ACADEMIC RECORD:

Marks
Examination Passed Year School/College Division Subjects
Total Obtained

Matric/O level

FA/FSc/A level or Equivalent

Diploma (DAE)

Other

I solemnly declare that the above particulars provided are correct and I will abide by the rules/ regulations of TEVTA Institution and City & Guilds.

Signature of the Applicant: _____________________ Date: __________________________

FOR OFFICE USE ONLY

Form No. : ___________________________ Admission for course (Trade/ Technology):_______________


Session: _____________________________ Date of form Received: ________________________________

Signature of Head of Department: _________________________________

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