GOVERNMENT SERVICE HOME Application for Tailoring / Secretarial Course (Residential course) Subject: Typewriting - English & Tamil - One year course Shorthand - English & Tamil - One year course 1. Name of the applicant (Tamil) .. (English) .. 2. Date of birth & Age .. 3. Mother tongue .. a) Nationality .. b) Religion .. c) Caste (BC /SC/ ST) .. 4. Father (OR) Guardian a) Name .. b) Address .. c) Occupation & Annual income .. 5. Permanent address .. 6. Present address .. 7. Married / Unmarried If the applicant is deserted or divorce .. certificate should be enclosed 8. Educational qualification .. 9. Technical qualification .. I declare that the above details are true to the best of my knowledge and there will be no change in that. If I am selected I assure that I will obey the rules and regulations of the Home. Guardian signature Applicant's signature
