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TNASDCH Germany Language Course Registration Form
For More Detail - Contact : 7305669222
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Email
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Name as per Aadhar (Fill in Capital Letters)
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Father Name
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Date of Birth (Date
/Month/Year
) Ex: 13-02-2000
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Age as of Now ( Only Below 40 Years )
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Qualification (DGNM/ B.Sc. Nursing / M.Sc. Nursing
)
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Graduation Year (Year/Month) Ex. 2014/04
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District
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Status (Working/Student)
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Phone No.
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Whatsapp No.
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E-mail (only Gmail)
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Accommodation Required
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Choose your Training center
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Chennai
Trichy
Coimbatore
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Do you belong to Vulnerable Group?
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PVTG (Tribal)
Single Parent
Widow
Refugees / Migrants or Displaced Persons from any Country
Persons from very poor and poor families affected with chronic illness (epilepsy, haemophilia, elephantiasis, TB and heart diseases)
Any other marginalized families who are defined by the community
Women with Career Break
Deserted wives and destitute with meagre subsistence income
Family affected with any War
Economically Weaker Sections (EWS)
Any Other
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