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Scheme of Hindi Correspondence Courses  
   
 
FOR ADMISSION TO PRABODH/PRAVEEN/PRAGYA
(ENGLISH MEDIUM ONLY)
 
     
 
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Note : a. All the entries should be in capital letters.
  b. Please tick on the option of your choice.
  c. Please leave one box blank after every word.
  d. Please use only blue/black pen.
1.

NAME OF COURSE

1
PRABODH
 
2
PRAVEEN
 
3
PRAGYA
 
2.

NAME OF APPLICANT

                   

(INDICATE WHETHER MR/ MRS/ MISS)

                   
3.

SEX

MALE
 
FEMALE
 


4.


DATE OF BIRTH
   
D
D
M
M
Y
E
A
R
   
               
5.
FATHER'S NAME
                   
6.

NATIONALITY

                   
7.
POSTAL ADDRESS
                   
(FLAT/HOUSE NO., CITY
                   
STATE, COUNTRY, PIN)
                   
8.
MOTHER TONGUE
                   
9.
PROFESSION
                   
10.
ACADEMIC QUALIFICATIONS
                   
11.

KNOWLEDGE OF HINDI

YES
 
NO
 
IF YES, INDICATE ABILITY
READING
 
WRITING
 
SPEAKING
 
12.
CERTIFICATE/DEGREE IN HINDI, IF ANY

WITH YEAR
                   

                   
13.

PARTICULARS OF FEE

 

CROSSED IPO NO.

 

CROSSED BANK DRAFT NO.

 

DATED

 

AMOUNT

 
 


DATE :
SIGNATURE OF APPLICANT
 
     
 
Note :- Last date for receiving applications in the Central Hindi Directorate is 31st December every year.
CERTIFICATE
This is to certify that Mr./Mrs./Miss………………………………….is an employee of this organization which is a Central Government Office/Public Under/taking/Kendriya Vidyalaya under KVS and his/her mother tongue is not Hindi.
Application forwarded for admission to ……………………………………… course.
   
   
 
Signature of Officer with
designation and office address
The application should be addressed to –  
The Deputy Director
Department of Correspondence Courses
Central Hindi Directorate
West Block-7, R.K.Puram
New Delhi-110066 ( INDIA )
 
     
 
 
 
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