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FCapplication

Uploaded by

kalanaputra60
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Instruction for applying RCI Certification for Foundation Course (FCECD):

1. Please read the instructions carefully before filling up the form. Appropriate information should be filled
by the candidates.
2. The candidate's name should be filled in capital in the application form as per the name mentioned in
his/her Xth / XIIth Certificate / Marksheet.
3. Following documents must be attached along with the application form:
- Recent Passport size colour photograph.
- Original UTR/TRN Slip issued by Bank (NEFT payment)
- Original Certificate of Authentication with recent passport size colour photograph
- Self attested copy of Final Mark sheet of FCECD
- Self attested copy of passing Certificate of FCECD
- Self attested copy of Xth / XIIth Certificate / Marksheet (for age proof & name)
4. Payment of Rs.1000/- through NEFT. Bank detail is as under:

Detail of bank account of the RCI for depositing the Registration Fee
Account Holder’s Name REHABILITATION COUNCIL OF INDIA
Name of Bank Canara Bank
Address of Bank Jit Singh Marg, New Delhi-110067
Account Number 1484101026701
Type of Account Saving
IFSC Code CNRB0001484

5. Original Certificate of Authentication with recent passport size photograph should be submitted with seal
& stamp from the institution from where the candidate has passed out FCECD qualification.
6. RCI Certificate for FCECD will be issued only after verification of hardcopies submitted by the applicant. If
any information is found unsatisfactory / fake / fraud the application will be cancelled. The award of
certificate will be valid only for five years.
7. The application along with the documents should be sent to the given address:
Member Secretary,
Rehabilitation Council of India
B-22, Qutub Institutional Area,
New Delhi - 110016.
APPLICATION FORM FOR CERTIFICATION OF
FOUNDATION COURSE ON EDUCATION OF CHILDREN WITH DISABILITIES
Applicant’s Name
Title Candidates’Name Middle Name Last Name Photograph

Affix colour
photograph

Applicant’s Father’s/ Husband Name


Title Candidates’Name Middle Name Last Name
Signature

Present Address
Dist State Pin

Permanent Address
Dist State Pin

Sex Date of Birth Community Email Contact No


(dd/mm/yyyy) Status

Academic Qualification University Year of passing

Foundation Course Details


Institute Name University Course Batch Batch year
Name

Declaration by the applicant:


I, _________________________________ hereby declare that all the statements made in this application are true,
complete and correct to the best of my knowledge and belief. I understand that in the event of any information
being found false or incorrect at any stage, my certification is liable to be cancelled. I, make this declaration on
_______________ (DD/MM/YYYY) without any outside pressure and agree to abide by the same.

Date :_________________ Place:__________________ Signature:____________________


Enclosures:
1. UTR slip of NEFT of Rs.1000/-
2. Original Authentication Certificate from the Institute
3. Marklist and Passing certificate of Foundation Course
(Note: This is a specimen copy. This format should be issued on the original letterhead of
the Training Institute / College / University department)

File no.: Date:

CERTIFICATE OF AUTHENTICATION

This is to certify that Ms. / Mr. _______________________________________ D/o /


S/o / Mrs. / Mr. _______________________________ has successfully completed the
Foundation Course on Education of Children with Disability (FCECD) programme from our
institute from _______ batch in the academic session ________ . The relevant
documents like passing certificate and mark sheet have been verified.
The programme is approved by the Rehabilitation Council of India, New Delhi through ODL
vide their MoU no. ________________ dated _________ to ____________________
University and is offered at ________________________________ institute under the
University vide order no. _________________________ dated ________________.

Course Co‐ordinator / HOD


(Name, sign and seal)

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