National Dope Testing Laboratory Training/ Internship July-Dec 2023, Applications Invited

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Application format for apply Training/Internship

(1) Name in full : _______ (in CAPITAL LETTERS)

(2) Father's/Husband's Name : __

(3) Date of Birth :

(4) Gender :

(5) Marital Status :

(6) Nationality :

(7) Postal Address :

(8) Contact Number :

(9) E-mail address :

(10) Details of educational qualifications: Please give particulars of all examinations passed and degrees obtained commencing with the High School Leaving (10th standard/Matriculation) Examination.

Please attach copies of all certificates and mark-sheets, duly self-certified by the candidate

Sl. No.

Examination /Degree/ Diploma passed

1. X

2. XII

3. Graduation

4. Post Graduation*

School/ College/ Institute

Name of the Board/ University/ Institution

Subjects (Please mentioned field of specialization, honours, etc.

Distinction/Class / Division

% of marks/ Grade

Date of passing out

*IInd year pursuing candidates are only eligible Declaration

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

Place:

Date:

(Signature of the Applicant)

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