Training program under Star Scheme for Telecom Sector. (Under the Aegis of Telecom Sector Skills Council) Conducted by Xntuate Solutions

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1 Training program under Star Scheme for Telecom Sector (Under the Aegis of Telecom Sector Skills Council) Conducted by APPLICATION FORM FOR enrollment TO COURSE (Options below) Paste your signed passport size photograph IDENTIFICATION NUMBER (To be filled by Xntuate staff) Xntuate affiliate Code (To be filled in by office only, as applicable) Date: To The Admission In charge, Sir/Madam, I wish to enroll as a student to pursue the TSSC endorsed Course as indicated above. The required particulars are furnished below : 1. Personal Details : Male : Female: (Please Tick) First Name Middle Name Last Name Date of Birth (DDMMYY)

2 UID number if allotted Whether Below Poverty Yes NO Line Please tick If yes please enclose the BPL certificate Whether an Indian Yes NO If NO (This scheme is applicable to only Indian Nationals National (Please tick) Have you enrolled for any STAR scheme before Please Tick Yes NO If yes, please be aware that as per STAR scheme the trainee can get the refund of the award money only once 2. Current Address House Number Street Post Box City State Pin 3. Father's Name 4. Mother's maiden Name

3 5. Educational course currently undergoing if any (Example BA 2nd Year or ITI first year) Name of course Discipline Institution university Current year Completion year 6. Academic Qualifications (Completed) Qualification Discipline Board/University Year of completion Class X/ SSC Class XII Graduation Post Graduation 7. Contact Details Id Residence Telephone (with STD number) Mobile Number Prepaid/ Postpaid Is the number registered under your name? (Please tick) STD code Yes No Number

4 8. Payment Details 1 Cheque/ Demand Draft Number 2 Cheque/ Demand Draft Date 3 Name of issuing Bank and Branch 4 Amount Note: Cheque will be accepted only a week prior to the batch start date. Cheque to be made in favor of 9. Bank reference: To Facilitate refund wherever applicable 1 Bank Account Number 2 Your name as appearing in the bank account 3 IFSC Code (11 digits) 4 Name of Bank 5 Name of branch and location NOTE: Please double check the accuracy of your name, address and bank details, any wrong spellings may hinder refund of the training fee Please note that the refund of the training fee (less the examination and certification fee) as prescribed under the STAR scheme under NSDC is subject to your clearing with minimum marks in the assessment after the completion of the training 10. Batch Details (To be filled by Xntuate Staff) Start Date Location

5 I hereby declare that the particulars furnished above are true and correct. If at any time it is found that the said particulars are incorrect/false, I agree to my enrolment being cancelled without any obligation on the part of Xntuate or NSDC and its affiliated Sector Skills Councils for the reward or refund of any fee paid by me. Place : Date : Signature :. Program Options - TSSC Eligibility S No NOS Minimum qualifications Maximum qualifications Experience 0 = a current UG student can avail training Potential positions that can be applied for 1 Customer Relationship Management Voice operations 10+2 Graduate in any stream 0-1 years Customer Service Representative / Customer Care Associate / Customer Relationship Officers / Call Centre Executive Retail Centre Customer Relationship Management Sales Best Practices Telecom Broadband Sales Best Practices Field (FSE) 10+2 Graduate in any stream Any Graduate MBA Sales 2-3 years of sales / call centre work experience 0-1 year in Telecom Industry 10+2 Graduate in any stream 0-1 year Customer Service Representative / Customer Care Associate / Showroom Executive / Customer Relationship Officer / Customer Service / Executive / Store Executive / Retail Executive. Territory Sales Executive/ Territory Sales Representative/ Field Sales Executive/ Field Sales Representative/ Feet on Street (FOS)/ Business Development Executive. Distributor Sales Representative (DSR). Field Sales Executive / Distributor Sales Executive (DSE)

6 5 Best Practices - Distribution 10+2 Graduate in any stream 0-1 year Field Service Executive/Distributor Sales Executive 6 In-Store Promotion 10+2 Graduate in any stream 0-1 year In-Shop Promoter / Sales Representative / Retail Sales Representative / Sales Executive. Terms As part of the industry endorsed coursed being launched by Xntuate on behalf of Telecom Sector Skill Council, 1. The Student is desirous of enrolling for the course name and duration listed above. 2. The Student agrees to pay the fees prescribed for the course, which is non-refundable in advance along with the prescribed certification and assessment fee 3. The student is desirous of enrolling for the batch announced in the institute notice board, starting on 4. The student has submitted all the documents, self attested as required as supporting evidence for enrolling for the program, and warrants that these are certified true copies of the original 5. The student has understood the terms of the STAR scheme announced by the Govt 6. Student specifically understands that the refund by the Govt. under the STAR scheme, is subject to the student attending the training batch regularly, completes all project work and assignments as prescribed during time to time and passes the assessment carried out by a third part Govt assessment agency with minimum prescribed marks 7. Certificate will be issued to all candidates who pass the assessment, within 15 days. Please collect your certificate from the Institute Dean's office. Enclosures List of documents to be enclosed along with the enrollment form Passport sized Photograph (two) Certificate of last education completed ID proof (driving license/voters ID card) Proof of residence (Ration card/driving license/voters ID card) BPL certificate if applicable

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