(FILL UP BY THE CANDIDATE IN CAPITAL LETTERS)

Passport size

photograph of the

candidate to be

affixed and to be

attested here by

principal/

Center In-Charge

20 - 20

Controller of ExaminationNCP, Delhi

Signature of Candidate

Passport size

photograph of the

candidate to be

affixed and to be

attested here by

principal/

Center In-Charge

(A Unit of Paramedical Foundation, NGO Regd. under Trust Act)

(A Unit of Paramedical Foundation, NGO Regd. under Trust Act)

(Regd. with Neeti Aayog & Approved by Govt. of India under C. R. Act.)

(Regd. with Neeti Aayog & Approved by Govt. of India under C. R. Act.)

Institution Code Number

Institution Name with completeAddress

Candidate Name in English

Date of Birth ......../........../............ Sex:

Father Name

Mother Name

Complete permanent Address with Pin Code, Mobile No. &E-mail

Address for Communication

Name of the Course & Course code

Course Duration

Session year

HALL TICKET

Date :

Enrollment No.

Name of the Candidate :

Institute/Exam Center Address :

Course Name : Part :

Session :

___MONTHS ONE YEARTWO YEAR

st1 YEARTWO YEAR

nd 2 YEARTHREE YEAR

3rd YEAR

DIRECTSECOND

YEAR

Male Female Nationality

Enrollment No. :

The above mentioned Candidate is allowed to appear in Examination of NCP for Course & Session mentioned above.

National Council of Paramedical, Delhi

National Council of Paramedical, Delhi

MEMBER : QCI (Quality Council of India)ISO 9001-2015 CERTIFIED

MEMBER : QCI (Quality Council of India)ISO 9001-2015 CERTIFIED

रा��ीय परािचिक�सक�य प�रषद, िद�ली्

रा��ीय परािचिक�सक�य प�रषद, िद�ली्

Address of School/Collegein which the candidate last Attended

Detailes of qualified examination asRoll No., Name of School/College,Marks obtained, Percentage, Etc.

The Board/University from which thecandidate passed the qualifying examination

Details of documents enclosed(Only Photo Copies)

Aadhar No.

Details of fees by D. D. only in favour ofParamedical Foundation payble at Delhi

No Enrollment form will be accepted without fee.

Place :Date :

Date :

Signature of the Candidate

Signature of the Candidate

( Sign of Center Co-Ordinator with seal)

NOTE

1. Examination Hall shall be open before 15 minute as per Exam. schedule.2. No use of unfair means will be allowed in Examination & Violator will be prosecuted accordingly.3. Exam. Center In - charge shall be entitled to make appropriate changes in Exam. schedule in case of any circumstances with prior permission to Controller of Exam.

DECLARATIONI hereby declare that all information furnished by me in this application form are true and correct to the best of my knowledge and belief and nothing has been

concealed in it. If at any stage it will be found wrong, the authorities of NCP shall have right to cancel / reject my enrollment form and take appropriate legal actions

against me. I again declare that I know very well that NCP is run by Paramedical Foundation , An autonomous organization established under Trust Act and running

only self employable courses to enhance knowledge and wisdom which provides no guarantee about validity of its certificates in further education or job and

NCP has no concern with any other similar organization. I Further Declare that Neither NCP nor its accredited Center has given any assurance for availability of free

Bus- Passes & any type of Scholarship during study period. This information has been conveyed by the training center to me in my mother tounge before admission

and I well understood that Certificates of NCP is neither valid for Job nor for Education, after knowing this facts, with my free wish & will, I have take admission in NCP

course conducted at above-mention center and I again declare that I will never claim or blame to NCP or its accredited center on this ground in future only I will be

responsible for all consequences raised in future on these grounds and NCP or its accredited center will not be responsible or able to compensate by any way.

I hereby forwarded form of Enrollment of above mention student for the session mentioned above. I Declare that The above mention Student has personally filled the form in his/her own hand writing and read, understood & signed declaration printed on enrollment form before me. I have checked all eligibility documents of the candidates at my end and found no fault in it. Hence candidate deserve Enrollment in the above mention course.