BSNL - IBT TRAINING ACADEMY (BITA)
1
BSNL Connecting India Faster PHOTO (one recent passport size colour photo of the candidate to be affixed) BSNL - IBT TRAINING ACADEMY (BITA) 1) Admission Fee / Course Fee payment can be made in the form of Cash/Chq (at par) / DD drawn in favour of “Outlook Communications Pvt. Ltd” payable at Hyderabad. OR 2) The Payment can also be made through e-banking/NEFT/RTGS. the details of Bank A/C for this purpose is given below. After making payment through e-banking/NEFT, the students shall send an email furnishing full particulars of payment on email id ([email protected]). ADMISSION FORM 2. Admission Fee Payment Details 01. Name of the Student Mr./Ms ............................................................................................... 02. Sex: Male: [ ]: Female: [ ]: 03. Date of Birth: DD [ ] MM [ ] YY [ ] 04. Information about Family members: a) Father/Husand Name : ...................................................................................................... 05. Address for Communication ii) Address for Correspondence ................................................................., ........................................................................ ................................................................., Pin .................................................................. 06. Contacts: a) Email ID: ............................................................................. b) Landline: .............................. c) Mobile : .............................. 3. Personal Information 1. Mode of Payment Cheque / D.D. No./NEFT Date Name of the Bank & Branch Amount Training Venue For office use only Roll No.:......................................................................................................................................... Batch No. : .................................Period of Training From ...........................To............................. NATFM, BSNL, RTTC Campus, Gachibowli, Hyderabad - 500 032 Connecting Success IBT IBT INSTITUTE PVT. LTD Sl. No. Particulars Fee including ST where ever applicable Cheque / DD to be drawn in favour of Payable at Due Date for Payment 1. Admission Fee Rs. 200/- Outlook Communications Pvt. Ltd. Hyderabad Along with this application 2. Course Fee Rs. 6742/- To be paid on or before commencement of Training 3. Course Material Fee Rs. 1500/- 5. Schedule of Payment of Fees 6. Hostel Facility Required : Yes Not Required 7. Declaration by the Student 1. I here by declare that all the information furnished by me in the application and the documents I have submitted in support of my application are true, complete and correct to the best of my knowledge and belief. 2. We understand and here by agree that : Ø Fees once paid will not be refunded Ø Hostel charges for lodging and boarding are extra Place : Date : Signature of the Candidate 8. Submission of Filled in Application Form Duly filled in application along with enclosures may be sent to : The DGM (Trg) & BITA Programme Co-ordinator, O/o. CGM, NATFM, BSNL, RTTC Campus, Gachibowli, Hyderabad - 500032 Graduate Post Graduate Ÿ Ÿ The admission fee of Rs.200/- will be adjusted in the course fee payment No Refund of Fee allowed. Bank Account No. 115905000083 Name of the Bank & Branch ICICI Bank Kalamassery, Cochi IFSC Code. ICICI10001159 4. Academic Qualifications: UnderGraduate
Transcript of BSNL - IBT TRAINING ACADEMY (BITA)
BSNLConnecting India
Faster
PHOTO(one recent passport size
colour photo of the candidate
to be affixed)
BSNL - IBT TRAINING ACADEMY (BITA)
1) Admission Fee / Course Fee payment can be made in the form of Cash/Chq (at par) / DD drawn in favour of “Outlook Communications Pvt. Ltd” payable at Hyderabad.
OR 2) The Payment can also be made through e-banking/NEFT/RTGS. the details of Bank A/C for this
purpose is given below. After making payment through e-banking/NEFT, the students shall send an email furnishing full particulars of payment on email id ([email protected]).
ADMISSION FORM
2. Admission Fee Payment Details
01. Name of the Student Mr./Ms ...............................................................................................02. Sex: Male: [ ]: Female: [ ]: 03. Date of Birth: DD [ ] MM [ ] YY [ ]04. Information about Family members:
a) Father/Husand Name : ......................................................................................................05. Address for Communication
ii) Address for Correspondence................................................................., ........................................................................................................................................., Pin ..................................................................
06. Contacts:a) Email ID: ............................................................................. b) Landline: .............................. c) Mobile : ..............................
3. Personal Information
1. Mode of Payment
Cheque / D.D. No./NEFT Date Name of the Bank & Branch Amount
Training Venue
For office use only
Roll No.:.........................................................................................................................................
Batch No. : .................................Period of Training From ...........................To.............................
NATFM, BSNL,
RTTC Campus, Gachibowli,
Hyderabad - 500 032
Connecting Success
IBTIBT INSTITUTE PVT. LTD
Sl. No.
ParticularsFee including ST where
ever applicableCheque / DD to bedrawn in favour of
Payable atDue Date for
Payment
1. Admission Fee Rs. 200/-Outlook
CommunicationsPvt. Ltd.
Hyderabad
Along with this application
2. Course Fee Rs. 6742/-To be paid on or before
commencement of Training3. Course Material Fee Rs. 1500/-
5. Schedule of Payment of Fees
6. Hostel Facility Required : Yes Not Required
7. Declaration by the Student
1. I here by declare that all the information furnished by me in the application and the documents I have submitted in support of my application are true, complete and correct to the best of my knowledge and belief.
2. We understand and here by agree that :
Ø Fees once paid will not be refunded
Ø Hostel charges for lodging and boarding are extra
Place :
Date : Signature of the Candidate
8. Submission of Filled in Application Form
Duly filled in application along with enclosures may be sent to : The DGM (Trg) & BITA Programme Co-ordinator, O/o. CGM, NATFM, BSNL, RTTC Campus, Gachibowli, Hyderabad - 500032
Graduate
Post Graduate
Ÿ
Ÿ The admission fee of Rs.200/- will be adjusted
in the course fee payment
No Refund of Fee allowed.
Bank Account No.115905000083
Name of the Bank & Branch
ICICI Bank Kalamassery, Cochi
IFSC Code.ICICI10001159
4. Academic
Qualifications:
UnderGraduate
