ANNEXURE-II Khadi Gramodyog Maha Vidyalaya is situated at Rajendranagar. It is imparting Training to Rural Artisans/Entrepreneurs to establish a unit in Village and provide employment to himself and to others. MODEL APPLICATION FORM FOR TRAINING IN THE TRADES MENTIONED IN THE ANNEXURE :- Photo To The Principal Khadi Gramodyog Maha Vidyalaya, RAJENDRANAGAR, HYDERABAD-30 1. Name of the Course : ________________________________________ 2. Candidates Name in full : ________________________________________ 3. Fathers/Husband name : ________________________________________ 4. Date of birth and Age : ________________________________________ 5. Educational qualification : ________________________________________ 6. Previous experience, if any : ________________________________________ 7. Whether belongs to SC/ST/PH/ : ________________________________________ Ex-service men/ Artisan /B.C and others. 8. Address for communication : ________________________________________ 9. Plans after training : ________________________________________ 10. Whether the candidate is eligible : ________________________________________ for bank loan give details (Security aspect etc.) //2// 11. Whether the candidate or his family member has taken loan from bank for any purpose. (give details) whether the loan totally repaid or not : ________________________________________ 12. Other related information : ________________________________________ I hereby declare that the statements made above are true to the best of my knowledge. I here by undertake and agree by all the Rules and Regulations of the Training Institute. I also agree to refund to the Khadi Gramodyog Maha Vidayalaya the stipend paid to me in the event of my leaving the course in the middle. I shall be liable to be expelled at any time during my training if in the opinion of the authorities of the training institute. I am found to be unfit for undergoing the training or my conduct is found to be unsatisfactory. Place : Date : Signature of the applicant RECOMMENDED TO ADMIT FOR TRAINING Signature of the recommending officer/ President of the Institution : : Name of the recommending officer/ President : Address of the recommending officer/ Institution. :
