Applied Statistics Unit, Indian Statistical Institute,203 Brrackpore Trunk Road, Kolkata - 700 108

At

Department of Humanities and Social Sciences, National Institute of Technology,Silchar-788010,Assam

----------TO BE FORWARDED THROUGH PROPER SPONSORING CHANNEL---------

1. Name (in Block Letters): Mr./Ms.
2. Designation :
3. Office Address :
4. Fax/e-mail Address (if any ) :
5. Age (in completed years) :
6. Qualification :
7. Briefly describe your :

1. Work duties and responsibilities :

 

 

2. Formal Training on computer use :
3. Expectation (and/or requirements) from the training :

 

4. Computer Setup in your organisation and your accessibility to it :

Mr./Ms. ________________________________________

Designation _________________________Working at _________________

_____________________________________________________________________

to participate in the above mentioned short term Course.

.

Office Seal ____________________________________
Signature of the Sponsoring Authority

(Name Designation: )

Date :

This form may be copied and circulated widely in the North-Eastern academic institutions, Govt. and Public Sector offices)