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INSTITUTE OF HANDLOOM & TEXTILE TECHNOLOGY KERALA
KIZHUNNA, THOTTADA, KANNUR-670 007
APPLICATION FOR ADMISSION TO
 
  COURSE
* Marked fields are mandatory
1. Name of the applicant(in full) *
(IN CAPITAL LETTERS)
2. Gender
3. Father's Details *  
  Name & Address
  Phone
  Mobile
  Email
  Post
  Pin
4. Guardian's Details *  
  Name & Address
  Phone
  Mobile
  Email
  Post
  Pin
5. Relationship of Guardian to applicant *
6. Occupation and Annual Income of father/Guardian*
7. Full Permanent Address of parent orGuardian *
8. Address to which Communications tobe sent to the candidate *
9. Age & Date and place of birth of theapplicant *
Age :
Date of birth :
Place of birth :
10. Nationality*
11. Educational Qualification *
12. Whether the candidate is sponsored by Textile establishments under payment seats *
  If yes, give details of Institution
13. Whether the candidate is from Weavers Community *
14. Whether the candidate belongs to *
15. Name of the School or College last attended *
16. Industrial or commercial experience if any
17. Distinction gained in sports or Extra-Curricular activities, if any
18. Any other particulars the applicant wishes to state in support of his/her application
19. Upload Photo
20. Details of Application fee remitted
  DD No:
  Date
  Name of bank
     
       I declare that the particulars furnished above are true and correct to the best of my knowledge and belief.
* Signature of Applicant.
DECLARATION BY APPLICANT
1.
In the event of my being admitted to the Institute I undertake to observe and abide by the disciplinary rules and regulations of the Institute that may be laid down by the Government from time to time during the period of my training.
2.
I hereby agree to abide by and satisfy the rules regarding the attendance and if my attendance fails short of the minimum percentage at the end of the year, I shall not claim condonation there of under my circumstances what so ever and I may not be permitted to sit for the examination.
 
* Signature of the Applicant.
       
   
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