Telephone / Mobile No. with STD Code To The Director Employment Services & Manpower Planning Office Lane, Agartala. Subject: Applilcation for undergoing course____________________________________________ (Mention the name of Basic Course and Institution preferred) 1 Name of the candidate ( in block letters) : 2 Father's Name : 3 Address ( Permanent & Temporary) : 4 Educational Qualification : 5 Other qualification if any. : 6 Date of birth : 7 Nationality : 8 Category ( SC/ST/OBC/Minority/Other) : : (Attested copies of all certificates / testimonials should be enclosed with the applications) Dated. Name of Applicant_____________________
