Training Application Form

	A	C	D	E	F	G	I	J
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2	VED VIGNAN MAHA VIDYA PEETH APPLICATION FORM - PAGE 1 (To be filled by candidate)
3	PERSONAL DETAILS
4	Full Name:
5	Gender:	Date of Birth:		DD	MM	YYYY
6	Blood Group:			Age
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10	Father's Name:
11	Mother's Name:
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13	CONTACT DETAILS
14	Present Address:
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16	City:			State:			Pin Code:
17	Telephone:				Mobile:
18	E-mail Id:
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20	EDUCATIONAL QUALIFICATION
21	Class		%scored		Year of passing
22	12th Pass
23	Graduation
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27	HEALTH DETAILS:
28	Present Health Condition:
29	Previous Medical/Psychiatric History:
30	Currently taking any Medication (please mention names):
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32	ART OF LIVING COURSES DETAILS (RECENT):
33	Course		Name of the Teacher			Location		Date
34	PART-1
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36	YLTP - PHASE 1
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38	YLTP - PHASE 2
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40	ID & ADDRESS PROOF DETAILS: (Kindly Tick)
41	Driving License :				Voter ID :
42	PAN Card :
43	Note : A candidate will have to carry a photocopy of ID proof at the time of arrival in the Ashram
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45	REFERENCE DETAILS:
46	1) Teacher's Reference				2) Emergency Contact
47	Name:				Name:
48	Teacher's Code:				Relationship:
49	Address:				Address:
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52	Telephone:				Telephone:
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54	HAVE YOU EVER BEEN CONVICTED OF A CRIME? (YES/NO):
55	If yes, explain number of conviction(s), nature of offense(s) leding to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilition:
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57	Date of Arrival:
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59	Did you complete this application yourself? (Yes/No):
60	If not, who did it (Full Name & Relationship):
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62	DECLARATION (PLEASE READ CAREFULLY):
63	I authorize investigation of all statement contained in this application. I understand that the misrepresentation or omission of facts called for is cause for "Sending Back" at any time without any previous notice. I hereby give the Ashram HR permission to contact previous employers,reference and others and hereby release the Ashram from any regulation and liability as a result of such contact. I also understand that the Ashram has a 'NO drug and NO alcohol and NO non-veg' compliance with this policy is a necessary. I undertake to strictly comply with all the Rules and Regulation of Ashram for my Stay. I declare that I am physically fit to do training at the Ashram. I am doing this training at my risk and shall not hold Ved Vignan Maha Vidya Peeth responsible for any loss,injury or damage whatsoever under any circumstances.
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65	SIGNATURE OF THE APPLICANT:
66	DATE:
67	RECEIVED BY (ASHRAM HR):
68	DATE:
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71	Application Form - Page 2 ( To be filled by recommending teacher)
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73	I …………………………………know Miss/Mr./Mrs.……………………………………
74	I recommend him/her to do house keeping training in the ashram which is starting from 10th Oct,2011
75	I have also sought his/her family’s approval for his/her stay in the ashram and they have no objection about it.
76	I know him/ her for the last……………..(period)
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78	I here by authentic that the candidate is not indulging in any of the activities like smoking and drinking. And also physically fi to attend the training
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80	Teachers Name:……………………. Mobile No……………………………..
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82	Teachers Code:……………………..
83	Place:……………………………….
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