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OMS Admission Application Form

The document is an application form for a training program at the OMS Power Training and Research Institute. It requests information such as the applicant's name, father's name, gender, date of birth, contact details, emergency contact, program of interest and reason for interest. It also requests educational qualifications and details of how the applicant heard about the institute. The applicant must provide a signature to declare the information is true and pay a registration fee, either by demand draft or cash.

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deepu kumar
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0% found this document useful (0 votes)
13 views1 page

OMS Admission Application Form

The document is an application form for a training program at the OMS Power Training and Research Institute. It requests information such as the applicant's name, father's name, gender, date of birth, contact details, emergency contact, program of interest and reason for interest. It also requests educational qualifications and details of how the applicant heard about the institute. The applicant must provide a signature to declare the information is true and pay a registration fee, either by demand draft or cash.

Uploaded by

deepu kumar
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

OMS POWER TRAINING AND RESEARCH INSTITUTE

We train to empower you

Form no.; APPLICATION FORM Date;

Full Name;

&ĂƚŚĞƌ͛ƐEĂŵĞ͗ D.O.B.: DD/MM/YY

Gender: Male: Female: Relation:

Emergency Contact Name:

Address for Correspondence (BLOCK CAPITALS) with contact no


͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙
͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙
͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙
͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͘

Permanent Address (BLOCK CAPITALS) with contact no

͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙
͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙
͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙
Programme for which you wish to apply. : Programme Code
Why you want to apply for this programme?

Educational qualification

Name of the School/College Board/University Branch %Score Year of Passing


Examination

Enquiry Source - how did you hear about our Institute? ()


Friend: Web: News Paper: SMS: Leaflet: Others:
Registration fee payment: DD/Cash.
If DD: ͘͘EŽ͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͕ĂƚĞ͙͙͙͙͙͙͙͙͙͙͙͕͗ĂŶŬ͙͙͙͙͙͙͙͙͙͙͗͘.
Declaration

I declare that the statements made by me on this form are, to the best of my knowledge and belief,
true and correct. Enclose [Link]/Date/Amount/Bank.
Date: Student signature:

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