NATIONAL CENTRE OF ORGANIC FARMING

Hapur Road, Kamla Nehru Nagar, Ghaziabad

ORGANIC FARMING TRAINING APPLICATION FORM

(Kindly fill in CAPITAL letters)

Paste a
1. Name of the Participant :
recent
2. Father’s name : passport
size photo
3. Date of birth :
4. Gender :
5. Category (Gen/SC/ST/OBC/Others):
6. Address :
Present (for correspondence) :

Tel.No. (with STD code)/ Mob. :

Permanent Home address :

Tel.No. (with STD code)/ Mob. :

E-mail ID :
Mobile No. :

7. Nationality :
8. Educational Record
EXAMINATION NAME OF THE % OF MARKS/ YEAR OF SUBJECTS
BOARD/ GPA/DIVISION PASSING
UNIVERSITY
i) High School

ii) Intermediate

iii) Graduation

iv) Post
Graduation
v) Other

9. Aadhar No

10. Type of Course intended to join : 7 days online Training/30 days offline Training
(Please tick anyone only)
I hereby declare that all information provided by me is true and correct, if any stage found
incorrect, strict action may be taken against me by the centre.
Place:
Date:
Signature of applicant
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