CENTRAL STAFF TRAINING AND RESEARCH INSTITUTE, KOLKATA
EN - BLOCK, SECTOR - V, SALT LAKE CITY, KOLKATA - 700 091

APPLICATION FOR PARTICIPATION IN STAFF TRAINING COURSE

Name of the Course :  ................................................................................................................................

Date of Commencement : ...........................................................................................................................

1.	Name of the Candidate :
        (IN BLOCK LETTER)    : ...................................................................................................................

2.	Designation : ......................................................................................................................................

3.	Mailing Address : ..............................................................................................................................

4.	Deputing Authority : ..........................................................................................................................
        (Indicate correct postal address
        including PIN Code & Telephone No., E-Mail address if any)

5.	Candidate's present pay and scale of pay : ....................................................................................

6.	Date of Birth : .............................................................................................................................

7.	Qualification :	

8.	Experience (in years) :

9.	Foreign visit (if any), place ...........................................................................................................................
       And purpose of visit           ...........................................................................................................................

10.	Whether belongs to SC/ST/OBC			Yes/No
       (for statistical records)

SIGNATURE OF THE SPONSORING 
AUTHORITY WITH OFFICE SEAL	        					SIGNATURE OF THE CANDIDATE 

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