Enrollment No.

CENTER CODE:

Roll No.
ALL INDIA EARLY CHILDHOOD CARE & EDUCATION

AN ISO 9001: 2008 CERTIFIED (Regd. by Govt. of NCT, New Delhi)

ADMISSION / EXAMINATION FORM

1. Reference Id (Sponsor Code)
2. Name of Candidate
3. Father's Name
4. Address
5. Pin Code
6. Phone No.
7. Gender
8. Date of Birth
9. Particulars of Academic Qualification (Enclose all attested copies of the certificate & Marksheets)
S.NoExaminationBoardYearDivision
1
2
3

NURSERY TEACHER TRAINING (N.T.T.)

10. Name Of Course
Please tick (✓) on required blank box
11. Name of Study Center

DECLARATION BY THE APPLICANT

I hereby declare that I have read and considered the conditions of eligibility for the above course, for which I seek admission. I fulfill the eligibility conditions and I have furnished above, the necessary information in this regard. In the event of any information being found incorrect or misleading, my candidature shall be liable to cancellation at any time and I shall not be entitled to get refund of any fee paid by me.

Dated
Signature of Centre Incharge Signature of Candidate
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