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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
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(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
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