PDTC, Training Course Material

POWER DISTRIBUTION TRAINING CENTRE, BHOPAL
(A Training institute of MPMKVVCL)
Nishtha Parisar, Bijlinagar,Govindpura, Bhopal-462023
Phone No. 0755-2602033 To 2602036 Fax No.0755-2589821
ISO 9001-2008
APPLICATION FORM
VOCATIONAL TRAINING PROGRAMME (Session 2015-2016)
VOCATIONAL COURSE NAME:
Electrical
TRAINING PERIOD:
IT/ CSE
HR
Finance
No. of Weeks
1. Full Name of the Candidate:………………………………………………
(In Capital letters)
2. Father’s Name: ……………………………………………………
Candidate
Recent Photo.
3. Date of Birth :
4. Sex:
Male
5. Category:
SC
6. Amount
Deposited:
Female
ST
DD/Cash
No.
OBC
GEN
Date
Amt
(Demand draft should be in favor of “POWER DISTRIBUTION TRAINING CENTRE, SOCIETY, Payable at Bhopal “)
Note: Cash payment are accepted at training centre only
7. Name Of College:
……………………………………………………………………………..
8. College Address & City: ………………………………………………………………………………
9. Current Semester & Year of Candidate : …..…..……………………………………………………
10. Stream/ Branch: ………………………………………………………………………………………..
11. Address for Communication:
……………………………………………………………………
Encl: College letter.
……………………………………………………………………
Email Id:……………………… … Mobile No: ………………………
DECLARATION
I …………………………………… S/o ……………………………….. hereby declare that all
the information given by me are true/correct to best of my knowledge and if found false the
benefit out of training shall be forfeited. I………………………….. also declare that I will not
claim any right for appointment in the company for any vacancy available in the future.
Date :
Signature of the Candidate:
Note: 1. Identification shall be verified at the time of Registration through your I-card.
2. One photograph alongwith letter from your institute is to be submitted prior to your registration.