Regional Telecom Training Centre

(An ISO 9001:2008 Certified Institute)

Sector-G, Kanpur Road, LDA Colony (Near NABARD), Lucknow (Uttar Pradesh) - 226012

APPLICATION FORM FOR VOCATIONAL / SUMMER TRAINING

1. Name of Candidate :…………………………………………………….…..

Self Signed
2. Date of Birth :…………………………………………………….….. PassportSize
Photo
3. Father’s Name :………………………………………………….….….
4. Permanent Address : …………………………………………………….…..
…………………………………………………………………………………...
……………………………………………………………………………………
5. Address for correspondence :…………………………….………………………………….………….
…………………………………………………………………………………………….………………….
6. Contact No. :…………………………7. E-mail Address: ...……………………@…………..
8. Name & address of College :…………………………….………………………………….………….
………………………………………………………………………………………………………………
9. Branch of Engineering :……………………………………………………………..……………..
10. Course Required : (please tick on required) Vocational Summer Project
Period (Week/s)
8Week 7Week 6Week 5Week 4Week 3 Week 2Week 1Week

11. Hostel Accommodation required: Yes / No

[Hostel facility is also available at nominal room rent@ Rs85/- + GST per day per trainee]

12. Caste :

13. Aadhaar No. :

(Signature of Candidate)

Training Fee: @ Rs. 1500/- + GST @ 18% per week

The training fee may be paid in Cash OR through DD drawn in favor of “AO(Cash) BSNL RTTC
Lucknow” payable at Lucknow.

Documents attached: One Passport size photograph to be pasted on application form, sponsorship
letter from College/University, Copy of Identity card of College/University.
................... ..................... …………… ……………… ……………... …………...

Acknowledgement (for office use only)

Received with thanks cash/draft of Rs……………. DD No.……………….……..Dated………………

From Mr./Ms………………………………………………………………………………………………………...

To,
The Account Officer (Cash) RTTC Lucknow
Please deposit:
Training Fee (in Rs.) GST (in Rs.) Total (in Rs.)

(ISSUING OFFICER)
For more information please visit “www.upe.bsnl.co.in/rttclkw”