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s a f e g u a r d y o u r s u r r o u n d i n g
Consultancy
(Government Registered and ISO 9001:2008 Certified Organization)
Vardhman StarCiti Mall, Unit No. - 321, Sector 7, Dwarka, New Delhi - 110075, IndiaWebsite: www.forensiceducation.in
Course Type: Short Term Certificate (Basic) Certificate (Advance)
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PAN Card No.
Mobile No.
Tel. No.(STD Code)
Pin Code
Country
State
City
Office / Res. Add.
Nationality Indian Others (Please specify)
Date of Birth DD MM YY SEX Male Female
Father’s Name
Name
Course Name:
Course Mode: Online Distance Training Certification
Fast Track Other
Marital Status:
Nationality:
Married
Indian
Single Others.......................................................................
Others (Please state).......................................................................
Educational and Professional Qualifications:
(BSC, SSC, Courses, Certificaitons, Graduation and Post-graduation or last 2-3 qualifications etc.)
QUALIFICATION UNIVERSITY AND YEARCLASS/
GRADEMAIN SUBJECTS
Work Experience: (Attach separate sheet, if required)
QUALIFICATIONORGANIZATION/AGENCY
COMPANY NAME
CLASS/
GRADEMAIN SUBJECTS
Please send my Study Material/Correspendence to my 1) Official / Res. Address, 2) Following Address
....................................................................................................................................................................................
....................................................................................................................................................................................
Rules and Regulations:
1)
2)
3)
4)
5)
Right of Admission is reserved.
Incomplete and incorrect applications, in any respect, would be rejected.
Any change in address should be informed in writing immediately for better service.
It is expected of you submit true and correct information about you. will not be
responsible if any problem arises due to false information being submitted by you for the said purpose.
For more and detailed R&R please visit - www.forensiceducation.in/terms-n-conditions.html
J. K. Consultancy
Declaration:
I am submitting this application form for............................................................................... Course of the
and I hereby declare that all the above information is true and correct. I have carefully read
all the instructions, terms and conditions of J. K. Consultancy from website. I fully accept and agree to abide
by the same.
J. K. Consultancy
Vardhman StarCiti Mall, Unit No. - 321, Sector 7, Dwarka, New Delhi - 110075, IndiaWebsite: www.forensiceducation.in
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Please find enclosed herewith:
1)
2)
3)
4)
5)
6)
7)
Demand Draft/Pay Order/Cheque/Bankers Cheque of Rs. _________ in favor of ‘New Delhi’
OR Receipt of Cash Deposit in Bank OR Transaction ID of Online Transfer/DD Number..........................................
Photocopy of Academic Qualification Certificates: Yes/No
Photocopy of Professional Qualification Certificates: Yes/No
Photocopy of Experience Certificates: Yes/No
Two additional passport size photos need to be send with application
Other Documents (If Any):..............................................................................................................................................
Character Certificate from the last Institution/School/College attached.
“J.K. Consultancy”
(Students may also pay by Cash, Cash Deposit in Bank, Debit / Credit Card or Online Transfer)
Signature: ................................... Date: ................................... Place: ...................................
To be attested by the Head of the- Laboratory / Institution / Company / Organization / Department / Bank Manager,
Principal, Notary or Gazetted Officer. (Any one can attest it)
Name:
Full Address:
Signature
Date
.......................................................................................
.......................................................................................
.......................................................................................
.......................................................................................
.......................................................................................
.......................................................................................
Designation:
Pin:
...................................................
...................................................
...................................................
...................................................
Send this completed form in paper via post, or courier with attested Photocopies of all required documents to:
J.K. ConsultancyVardhman StarCiti Mall, Unit No. - 321,
Sector 7, Dwarka, New Delhi – 110075
India
FOR OFFICE USE ONLY
Criteria Date Authority Signature Comments/Details/Remarks
Application
Received
Payment Received
Registration/
Ref. No.
Study Material
Identity Card
Examination
Vardhman StarCiti Mall, Unit No. - 321, Sector 7, Dwarka, New Delhi - 110075, IndiaWebsite: www.forensiceducation.in
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