PRAVAH SKILL DEVELOPMENT CENTER

DEHLI POLICE SCHOOL

NH-8, BHANKROTA
AJMER ROAD, JAIPUR
Student Registtration Form
Registration No…………………….……

Basic Beauty Care Advance Beauty Care Makeup Artist Cutting & Tailoring

Basic Fashion Designing Advance Fashion Designing Comp Basic Tally

Personal Information ( to filled in capital letters)

Name SUMAN MAHAWAR Father’s Name RAMPRASAD MAHAWAR _

Date of Birth 11/10/1997 Course Name ADVANCE CUTTING & TAILORING _
Full Address NEAR OLD POLICE CHOWKI, VPO/TEH- RAMGARH PACHWARA, DIST- DAUSA(RAJ.), PIN CODE- 303510
Phone No/Mobile No 9694923247 Parent’s Contact No 9694074263 _
Email ID csmdonno.1@gmail.com _

Education Qualification
Education Level ( Tick whichever applicable)

8th Class 10th Class 12th Class Gradute √ any other skill training/mention with details

Documets Attached (Please tick & specify documents)

√ Aadhar Card

√ Qualification Proof, Douments

√ Passport Size Photo (2)

√ Vaccination Dose Certificate (1 & 2)

SHIFT: Morning (9:30-12:00) X Evening (1:30-4:00) √

Declaration:

I certify that the above information provided by me is true & correct to the best knowledge, information & belief. I
follow all the rules and regulations in the decipiline manner at the center and in bus. I also agree to adhere to Pravah
Skill Development Center guidelines and instructions and accept that all decisions pertainingto the Education,
Examination & Certification shall be final and binding on me.

Signature of the Applicant: Date: 28/11/2023

Bus Transport Reqired Yes/No YES Pick up/Drop Point: CHOPRA MARRIGE GARDEN, KARANI
PALACE, JAIPUR