FORM NO. GOVERNMENT OF MANIPUR DEPARTMENT OF SERICULTURE APPLICATION FORM FOR ADMISSION TO POST-GRADUATE DIPLOMA TRAINING COURSE IN MULBERRY SERICULTURE FOR THE YEAR 2007-08 1. Name of the Candidate (in full block letter): Paste a ................................................................................... Passport 2. Father Name: .......................... Photograph 3. Full Address: ........................... here 4. Police Station / Post-Office: .................... 5. District / Sub Division: ....................... 6. Date of Birth / present age as on 01-07-2007: 7. Religion: I...........I 8. Category (Tick wherever applicable): SC 9. Particulars of Education Qualifications: /ST /OBC General Sl. No. Name of Examination Name of Board/ University Subject taken Year of passing Division/ Grade % of marks 1. H.S.L.C./ Equivalent 2. XII / P.U.Sc. 3. B.Sc. 4. M.Sc. 5. Others N.B. Candidate should attach all necessary documents (Xerox copy) duly attested by a Gazetted Officer with this application. Original documents should be produced on the day of interview. Date: Signature of Applicant: ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' GOVERNMENT OF MANIPUR SERICULTURE DEPARTMENT Paste a ADMIT CARD Passport Photograph here Roll no: ....... Name of Candidate: ........................... Address: ................................ You are hereby called to appear before the Selection Committee for selection to undergo Sericulture PGDS Training Course for the academic session 2007-08 to be held on ........ at the office of the Director of Sericulture, Manipur, Lamphelpat, Imphal. You must bring this card with you at the time of Interview along with related documents Viz... Educational Certificates and Mark Sheets, Caste//OBC Certificate in Original. For, Director of Sericulture. Manipur
