Date ………………………..

CANDIDATE’S SIGNATURE

INSTRUCTIONS:

1.     Kindly fill this form in block capital letters in neat hand writing or type.

2.     Please send duly completed application form to the Head of Contact Lens Department, “Tamanna Institute of Allied Health Sciences, Allahabad” Along with Photostat Copies of certificate of professional qualification and high school/Intermediate certificate only.

3.     This application should reach us before……………………. Late and incomplete application will not be entertained.

4.     Please enclose a Bank draft for Rs. 5,000/- in favour of Tamanna Institute of Allied Health Sciences, Allahabad as registration fee for this course which is non refundable.

5.     Head of Contact lens Department Tamanna Institute of Allied Health Sciences, Allahabad may reject or refuse any application without assigning any reason.

6.     OUTSIDER- Other colleges candidate fee= Rs. 6000/- (Six Thousand only).

FOR OFFICE USE ONLY

Allowed/Not allowed                                                                      Rs …………………………………….

                                                                                                                Receipt No. ………………………

HEAD OF CONTACT LENS DEPARTMENT                                  Date ………………………………...