Proforma For Admission To Prabodh

PROFORMA FOR ADMISSION TO PRABODH/PRAVEEN AND PRAGYA COURSES 1

Name of the course

2

Name of the Applicant (In Block Letters)

3

Father’s/Husband’ Name

4

Designation of the applicant

5

Complete postal Address Of Office including Dist/State

6

Nationality

7

Date of Birth

8

Mother Tongue

9

Academic Qualification

10

Standard/ Class Upto which Hindi has been Studied

11

Name and Designation of the Controlling Officer with full Office address(In Block letters and telephone numbers)

(Signature of the Applicant) CERTIFICATE OF THE CONTROLLING AUTHORITY (Please ensure fulfillment of eligibility conditions before signing the certificate) Certified that Shri/Smt/Kum……………………………………………………..working as............. …………………………………..in ……………………………..has been found eligible for training is permitted to enrolled for ………………………………….Course through correspondence to be conducted by the central Hindi training institute in the year………………… Signature Name and designation of the Competent/Controlling Officer With the office seal