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Scheme of Hindi Correspondence Courses  
   
 
FOR ADMISSION TO BASIC COURSE IN HINDI
(ENGLISH MEDIUM ONLY)
 
     
   
     
 
Note : a. Please tick on the option of your choice.
b. Please leave one box blank after every word and use only blue/black pen.
Affix Passport size recent photograph
1.

NAME OF APPLICANT

                   

(INDICATE WHETHER MR/ MRS/ MISS)

                   
2.

SEX

MALE
 
FEMALE
 


3.


DATE OF BIRTH
   
D
D
M
M
Y
E
A
R
   
               
4.
FATHER'S NAME
                   
5.

NATIONALITY

                   
6.
POSTAL ADDRESS  
A.
IN NATIVE COUNTRY
                   
(FLAT/HOUSE NO., CITY
                   
STATE, COUNTRY, PIN)
                   
B.
POSTAL ADDRESS IN INDIA
                   
(FLAT/HOUSE NO., CITY
                   
STATE, COUNTRY, PIN)
                   
7.
PHONE NO. IN INDIA
                   
  MOBILE NO.
                   
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.
DETAILS OF PASSPORT  
A.
PASSPORT NO.
                   
B.
ISSUING AUTHORITY
                   
C.
DATE OF ISSUE
                   
D.
PLACE OF ISSUE
                   
E.
VALID UPTO
                   
14.
DETAILS OF VISA  
A.
DATE OF ISSUE
                   
B.
VALID UPTO
                   
C.
TYPE OF VISA
                   
15.

PARTICULARS OF FEE

 

CROSSED IPO NO.

 

CROSSED BANK DRAFT NO.

 

DATED

 

AMOUNT

 
 


DATE :
SIGNATURE OF APPLICANT
 
     
 
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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