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Home New Delhi To - Ministry of Home Affairs

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CENTRE OF EXCELLENCE FOR STABILITY POLICE UNITS<br />

NOMINATION FORM – COURSES 2007<br />

TO BE FILLED IN ELECTRONICALLY BY THE NOMINEE<br />

1 Family Name 3 Date <strong>of</strong> Birth<br />

2 Forename(s)<br />

Nomination for<br />

High Level/Senior Officers Course Date :<br />

Middle Management Course* Date<br />

Personal Details<br />

Sex<br />

Place <strong>of</strong> Birth<br />

Passport Type and Number<br />

Street<br />

Postal Code + City<br />

Country<br />

Work<br />

<strong>Home</strong><br />

Mobile<br />

Fax<br />

E-Mail<br />

Name<br />

Address<br />

Contact Numbers<br />

Address<br />

Telephone<br />

Next-<strong>of</strong>-Kin<br />

(dd/mm/yyyy)<br />

4 Rank<br />

5 Nationality<br />

Driving Skills GOOD FAIR NONE<br />

Driving License YES NO<br />

Four Wheel Drive Experience YES NO<br />

Computer Skills Word Excel Access Powerpoint Other<br />

Pr<strong>of</strong>iciency with firearms YES NO<br />

Ability in use communication<br />

equipment<br />

YES NO<br />

Language Skills (Please Start with Your Native Language – No Need <strong>To</strong> Specificy Skill)<br />

Scale 1- 4 (1 = Basic; 2 = Sufficient; 3 = Good; 4 = Excellent)<br />

Language Listening Reading Writing Speaking

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