APPLICATION FORM FOR FREE / AT CONCESSION COMPUTER EDUCATION (Fill up in BLOCK letters)

AFFIX RECENT PHOTO

: : : 4. Date of birth : 5. School / College studying : 6. Class : 7. Familys total annual income : 8. Any previous knowledge of computer application : . 9. Contact Number : 10. Preferred time (tick atleast three option) : 7AM-8AM 8AM-9AM 3-30PM-4-30PM 1. 2. 3. Name of applicant Fathers/Guardians name Address (Classes will provided on alternative days) 4-30PM-5-30PM 6-30PM-7-30PM 11. Reference person (if any) Mobile No. : : 5-30PM-6-30PM

Signature of applicant DECLARATION :

Signature of Father/Guardian

I hereby declare that I will abide by the rules and regulations of All Assam Hindu Students Union (AAHSU), Tinsukia District Committee and the computer institution under whose monitoring/guidance, computer training will be provided. My candidature may be forfeited in case of violation of any such terms and condition as framed from time to time. NB i) The applicant may contact the organizing committee regarding selection for the course. They may be informed over phone if selected. (Only those who are economically backward will be preferred for free computer education). Course will tentatively begin on July, 2013. ii) Course contents : Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS Paint, Intro. to Multimedia and Internet, Basic Hardware Maintenance. iii) In case of computer education at concession : Registration Fee Rs. 100/Monthly Fee Rs.300/- per month Examination Fee Rs.150/- shall be charged. iv) In case of any query, mail us at : allassamhindustudentsunion@gmail.com Form may be downloaded from our website : http://allassamhindustudentsunion.webs.com --------------------- FOR OFFICE USE ONLY -------------------Recommended for Computer Training : FREE AT CONCESSION

Reason for such recommendation : . Authorized Signatory