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JIS Institute Of Skill Development Photo 56 Jessore Road Patipukur Kolkata-700048 Phone-913325224883/9432011484 Email jisd jisgroup.org ADMISSION FORM Name of the Course. Name of the Candidates in Block Letters Father s/Husband s Name Mother s Name Postal Address. Permanent Address Date of Birth. Gender. Annual Family Income. LandLineNo. Mobile No. Community. Category. Nationality. Muslim/Sikh/Christian/Buddhist/Parsee Educational Qualification Name of the Subject Board/University Examination Experience if any Sl*No Job Duration Date Company Year of Passing Division Percentage of Marks Designation Job Description Salary Full Signature of The Candidate. Name of the Candidates in Block Letters Father s/Husband s Name Mother s Name Postal Address. Permanent Address Date of Birth. Gender. Annual Family Income. LandLineNo. Mobile No. Community. Category. Permanent Address Date of Birth. Gender. Annual Family Income. LandLineNo. Mobile No. Community. Category. Nationality. Muslim/Sikh/Christian/Buddhist/Parsee Educational Qualification Name of the Subject Board/University Examination Experience if any Sl*No Job Duration Date Company Year of Passing Division Percentage of Marks Designation Job Description Salary Full Signature of The Candidate. Name of the Candidates in Block Letters Father s/Husband s Name Mother s Name Postal Address. Permanent Address Date of Birth. Gender. Annual Family Income. LandLineNo. Mobile No. Community. Category. Nationality. Muslim/Sikh/Christian/Buddhist/Parsee Educational Qualification Name of the Subject Board/University Examination Experience if any Sl*No Job Duration Date Company Year of Passing Division Percentage of Marks Designation Job Description Salary Full Signature of The Candidate.

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