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To
SANSKARAM                                                                                                              Place:_______
72, Regal Building, 2nd Floor,                                                                                       Date:________
Baba Kharag Singh Marg,
Connaught Place,
New Delhi-110001(India)

REGISTRATION FORM FOR SANSKAR GURU
FOR DIRECT PLACEMENT PROGRAME

Dear Sirs

I wish to be attend the Orientation and placement programme for SANSKAR GURU on 8th and 9th December, 2007 at Delhi . My particulars are as under::

Name of Candidate __________________________

Qualification _______________________________ ( NTT or ECCE or -------------)

Date of Birth ______________________________________

Father’s Name _____________________________________

Mother’s Name _____________________________________

Address _______________________________________
_______________________________________
_______________________________________

Pin Code: State_________

Telephone/ Mobile (i) _________________ (ii) __________________(Mobile)--------------------

E-mail-_____________________

My Father/ Mother/ Guardian namely__________________ will accompany me for this programme..

A Sum of Rs. 300/- towards cost of lunch/ tea etc for two persons and two days in the form of a Bank/Draft/ Pay order No._________ Dated _________ Drawn on _____________________payable at New Delhi in favour of SANSKARAM is enclosed.


SINGNATURE OF MOTHER OR FATHER

SINGNATURE OF CANDIDATE




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