Certificate Course on Staff Development CCSD- 2017 (10th Intake)- Application for Admission
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Email address
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Tittle:
1. Name in Full:
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2. Name With Initials
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3. NIC Number
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4. Date of Birth
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5. Residential Address(Address for correspondence)
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6. Mobile number/s
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7. Telephone (Res.)
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8. Official E-mail
if you want the SDC to copy correspondence to your office email.
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9. Official Address
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10. Telephone (Office)
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11. Highest Educational Qualification
Qualification, School/Institute, Year obtained, Particulars
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12. Professional Qualifications/Staff Development training received(if any)
Qualification Institution Year obtained
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13. Work Experience
Organization- Period of Service - Nature of Work - Position Held
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14. How Do You intend to pay the course fee (Rs. 35 000/=), (IF sponsored, indicate the name of sponsor)
Personally/Sponsored(IF sponsored, indicate the name of sponsor)
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15. List special knowledge or skills you wish to develop through the CCSD programme.
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I certify that the above information is true and accurate. I understand that misrepresentation in this application will cause rejection of it or revoking of acceptance for admission.
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