
APPLICATION FORM FOR GOOD STANDING
(Fill the form in capital letters)
1.
Name of the Candidate in full & address (as given on the Registration Certificate)
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2.
Father's Name
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3.
Present Address
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4.
Mobile Number
{{credentialSubject.phoneNumber}}
5.
E-mail id
{{credentialSubject.email}}
6.
Professional Qualification
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7.
Name of the Training Center (Where training has been received)
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8.
Registration Number
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9.
Place where you worked with full details (Enclose certificate in support)
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(Signature of the candidate)
Note:Please fill the information as per your Registration Certificate,