Home  l  Charitable Trust  l  Hospital  l  Education  l  Feedback | Site Map  
 
               Application Form
 
MUKAT POLYTECHNIC FOR WOMEN, RAJPURA
                                                                              



DIPLOMA COURSES IN MANAGEMENT OF OFFICE
AND SECRETARIAL SERVICES
 
  Name : ............................................................................................
 
  Father's / Husband's
  Name : ............................................................................................
 
  Date of
  Birth : ...............................................................................................
 
  Permanent
  Address : .........................................................................................
 
  Present
  Address : ...............................................................................................................................................
                 
                   ...............................................................................................................................................
 
  ACADEMIC QUALIFACTION :
   
  School / College
  Board / University
 Year
 Subject
Marks




       
 
  I ....................................................................................................... hereby certify that I am applying for the above course being run by Mukat Polytechnic for women and that the particular furnished by me are correct. I also undertake to maintain good discipline and obey all orders and instructions given to me in writing or verbality and that in the event of an act of indiscipline, I am liable to be rusticated at any stage of the course.
 
 
 
  Signature of Parent                                                                                                                  Signature of Applicant
 
 
FOR OFFICE USE ONLY
 
  Admission Granted/Not Granted
 
                                                                                                                                                                     (Director)