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a Nato Sl Develoomer Creston Pater Conany LUVEE COLLEGE OF LIVELIHOOD & LIFESTYLE (A unit of Leelas Foundation For Education Health) Programmes Approved by National Skill Development Corporation (NSDC) ADMISSION CUM REGISTRATION FORM Form No, LUVEE-NSDC/100001 Date, For Session 20. 20. Name of Candidate Fathers Name Mothers Name Date OF Birth Cast (Gen/OBCISCIST) Candidate Mob. No.1). Candidate Mob. No. (2) Parents Mob, E-mai Qui Name of the Course. NSDC Course Code. Duration Course Fee in Rs. Permanent Address. Pin Code Local Address Pin Code Aadhar No, Gender (MFT) BPL (YN). DECLARATION BY THE CANDIDATE, 1 hereby deslare thatthe information mentioned above are true and correct & that have bbeen written in my oWn handwriting [am also aware that the training program as well a certification provided by LUVEE is absolutely non government & industry certified, approved by National Skill Devolvemsent Corporation, ‘Signature of The Candiaate “Signature of The Parent HheeofAdaision— (Opies = Aadhar Card = Con Ceri (lappieble (ifappicabley = NSDC Porat view signed by candidate (Mandatory = Sic Photogrsphe oooooo00 (This Application Foxm Should be Submitted along withthe Reg station Fee) BA BRU SGT AAT son BT RORY aro Breda tere renee are wen etre wel wee faceiten wire wit spre ar tn ar eg wr , Pharmacy Council, Indian Nursing Council, National Council of Teachers Education sea State Para medical Council & # tia =f! 88 eta ear Rae eae 8 hr frre Ferg | Da / Or H BEATA Pater 1 Father Dated on............ have taken Admission in National Skill Development Corporation (NSDC) approved Diploma and Post Diploma Courses, NSDC Course Name Course Code. Tam Completely aware of the fact that the above Course is not affiliated by any constitutional body such as Medical Couneil of India, Pharmacy Council, Indian Nursing Council, National Council of Teacher’s Education or State Para medical Council . Iam Completely aware of the fact that the course I have joined is recognized by NSDC. Student’s Sign Parent’s Date For officer Use Only Name of the Course : Batch No. Name of the Candidate Batch Start Date Candidate Reg. No. Batch End Date Date of Admission Branch Code His/Her application for examination has been accepted & granted as a candidate for aforesaid course: COURSE COPE varus For Controller of Examination ‘cD LUEE Examination Date ard an ar a1 aM (Designation) afer; aaa (ait #) (reat wt/wt a a ‘ane ar oe. fare wa ff aie. siege ard af raf fare ert a a aT, sore 4, ‘ara ra ee RET afta saa ora & tere exis & WaT aq wlan arr GATT OT . (ra rat a aT a1 aT (Designation) after sara (staat #) (reat wt/wt a a ae ar oa fren wa faa ate siege TaN Me irae sequen a TH (orttgeitz Bx) ios a em 8 gear Oe tet ard an ar a1 aM (Designation) safe sa (sft creat wt/wt a a ae ar oa, ff aie. siege ard aft raft fete eter em are ‘Bawa aI aT, Wars & e wait a Fro vw ar at (Designation) saftras ome (stat #), (reat ait) oat a a eet ar om ‘fae wa fa ate Rage 3 wear a eat a at Be abe ego vers cen eat a erat al =

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