GOVERNMENT OF PONDICHERRY DISTRICT INDUSTRIES CENTRE ***** APPLICATION FORM FOR COIR TRAINING 1. Name of the candidate : 2. Male /Female : 3. Father/Husband's name : 4. Address : 5. Father/Husband occupation : 6. Age & date of birth : 7. Whether belongs to Sc/ST : 8. Educational qualification : 9. Whether he/she has attended any other training Programmes conducted by Central/State Govt. : 10. Whether he /she is native/resident: of Pondicherry State Place : Signature of the candidate. Date : N.B: The application should accompanied with the proof for the items mentioned in the Sl .No: 6,7,8,9&10 .