Place Your

Recent
Passport Size
APPLICATION PROFORMA FOR REGISTRATION Photograph
[For the Students of ‘LEARN SANSKRIT MODULES’--ROUND-8] Here.
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01. Name (Dr./Mr./Mrs./Kum.)

: NAGENDRA KRISHNAMURTHY
(In CAPITAL LETTERS)
02. Date of Birth (DD/MM/YYYY) : 09/11/1985
Age in Years : 32 Years
03. Full Postal Address : No 43 1st Floor, 4th Cross,6th Main
Venugopal Layout, Vidyaranyapura, Bangalore
Karnataka, India

PIN CODE : 560097

04. Educational Qualifications : MBA in Finance
05. Present Occupation
Working as “Subject Matter Expert” in
(Including Designation, Name
: First American India located in Indira Nagar,
of the Organization and its
Bangalore
Location)
06. Mother-Tongue : Telugu
English, Hindi (to Read and Write), Telugu, Tamil,
07. Languages Known :
Kannada (To speak only)
08. Previous Knowledge of
Sanskrit (Mention : No Qualification
Qualifications, if any)
09. Are you comfortable with the
Devanaagarii (Sanskrit/Hindi/ : Yes (Hindi)
Marathi) Script?
10. Can you spare some time
: Yes
daily for learning Sanskrit?
11. Do you have regular access
: Yes
to the Internet?
12. E-Mail ID : nagadakshu@gmail.com
13. Contact Phone Numbers : 8722212975 and 9902526742
14. SKYPE ID (if any) :
15. Any other information : No

Date: 22/01/2018. Signature:Nagendra

NOTE: (a) This Form should be filled-in by duly typing in ‘WORD’ Format only.
(b) No Column should be left blank and all Answers should be clearly in Words, not in dashes.
(c) Against the ‘Signature:’ Column, the Applicant may type his/her Name.
(d) Applications received in other Formats (Other than /’WORD’ Format) will not be accepted.
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