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Indian Statistical Institute: Application Form For Admission To Part-Time Course in SQC

This document is an application form for admission to a part-time course in Statistical Quality Control (SQC) offered by the Indian Statistical Institute in Hyderabad. It requests information from applicants such as their name, date of birth, contact details, educational qualifications, employment details, and a declaration that they will complete the course if admitted. The deadline for submitting the completed application form along with supporting documents and payment is August 22, 2012. The form also requires a statement of support from the applicant's sponsoring organization confirming their availability to undergo training and provide facilities for project study.

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phaneendray
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30 views

Indian Statistical Institute: Application Form For Admission To Part-Time Course in SQC

This document is an application form for admission to a part-time course in Statistical Quality Control (SQC) offered by the Indian Statistical Institute in Hyderabad. It requests information from applicants such as their name, date of birth, contact details, educational qualifications, employment details, and a declaration that they will complete the course if admitted. The deadline for submitting the completed application form along with supporting documents and payment is August 22, 2012. The form also requires a statement of support from the applicant's sponsoring organization confirming their availability to undergo training and provide facilities for project study.

Uploaded by

phaneendray
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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INDIAN STATISTICAL INSTITUTE

SQC & OR UNIT


Street No.8, Habsiguda
Hyderabad - 500 007

Last date for submission: 22.08.2012


Photo
`.250/- by Cash/ DD No.
Dated.

APPLICATION FORM FOR ADMISSION TO PART-TIME COURSE IN SQC

1. Full Name (block letters)_________________________________________________________


2. Sex

: Male/Female

3. Marital Status

: Married/Unmarried

4. Date of birth

5. Telephone

6. E-mail

7. Sponsoring Organisation and address:

8. Address to which the reply should be sent:

______________________________
______________________________
______________________________
______________________________

9.

_________________________________
_________________________________
_________________________________
_________________________________

Academic Record

Examination
Passed

Year of
passing

Subjects

Class/
Division

University/
Institution

Other
Information

School final/
SSLC
-----------------------------------------------------------------------------------------------------------------------Pre-University/
Intermediate
-----------------------------------------------------------------------------------------------------------------------Diploma
-----------------------------------------------------------------------------------------------------------------------Bachelors
Degree
-----------------------------------------------------------------------------------------------------------------------Masters
Degree
-----------------------------------------------------------------------------------------------------------------------Others
Photocopies of certificates to be attached

10. Have you applied for any other course conducted by the Indian Statistical Institute? Yes/No
11. Employment Status
a. Designation

_____________________________________

b. Function/Department _____________________________________
12. The following typewritten and certified copies are enclosed with the application:
a.
b.
c.
d.
13. Declaration : The above particulars submitted by me are correct. If admitted, I will not leave
in the middle of the course or engage myself in any activity which may hamper the progress of
my studies.
Place:
Date:

Signature of the applicant

14. Statement by sponsoring organisation:


a. If selected for admission, the applicant will be available to undergo training
b. Facilities will be made available for project study by the candidate at our organisation
during his normal working hours.
c. Transport and hospitality will be provided to the visiting faculty in connection with the
project study guidance.

Signature & Seal of Sponsor

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