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TECHNICAL TRAINING INSTITUTE

HINDUSTAN AERONAUTICS LIMITED

DTA-

Vimanapura P O, Bangalore 560017


Ph: 91-80 22322518, 2516, 3250, 3359
E-mail: [email protected]

APPLICATION FOR DIPLOMA TECHNICIAN APPTRENTICESHIP TRAINING

1.

Name in BLOCK letters

2.

Date of Birth, Age & Sex ()

3.

Address for correspondence

4.

Contact Phone Numbers Land line:


Cell No.:

5.

E-mail Address( in CAPITAL letters)

6.

Nationality

7.

Father/ Husband name

8.

Religion &Caste

9.

Category (Tick mark())

10.

SC

ST

OBC

PH

Ex-Sr.

GEN

Fill the following information based on your DiplomaCertificate/Provisional Diploma


Certificate & Marks Sheet

a.

Name of the college/Polytechnic

b.

University/Board

c.

Branch of Engineering

d.

Month and year of passing the diploma

e.
Marks scored in each semester
Semester

II

III

IV

VI

Total

Marks scored
Max. Marks
Overall percentage of Marks

I, .. hereby declare that the information furnished above are


complete, true & correct to the best of my knowledge & belief. I am fully aware that in case any
information is found incorrect/not meeting the eligibility criteria in any stages of the selection process
my candidature will be cancelled.
Signature of the candidate
Date:

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