Sponsoring Company Detail:
Company Name(*)	_____________________________________
Branch(*)	_____________________________________
Address(*)	_____________________________________
	_____________________________________
Candidate's Detail:
Name (*)	_____________________________________
Date Of Birth (DD/MM/YY) (*)	_____________________________________
Hours Required (**)	___________________
Sex	Male           Female
Address(*)	_____________________________________
	_____________________________________
City (*)	_____________________________________
State	_____________________________________
Pin Code	_____________________________________
Phone No./Mobile No.	_____________________________________
E-Mail(*)	_____________________________________
______________________	______________________
Candidates Signature (*)	Date (DD/MM/YY)  (*)
	_______________   _____________   ______________   ______________
Company Authorization (*)	(Auth. Signature) (*)    (signatory's desig.) (*)      (Place) (*)                        (Date) (*)

               Note:
               *   This signifies mandatory Fields
               ** The candidates who are MBA or Charted Accountant Need 25 Hours , Others need 50 hours

Address : RNIS College Of Insurance , 202 , Okhla Phase-III, New Delhi-110020
Phone : 011-26830883, FAX 011-26839819/26839818
E-Mail : rniscollege@yahoo.com