I.  The Organisation:

a.  Name of Organisation:

b.  Parent Ministry/ Department:

c.  Head of Organisation:

i.

Name:

ii.

Designation:

d.  Address:

City:

PIN

State:

Phone:

Fax:

Email:

II.  The Records Officer

a.   Name:

b.   Designation:

c.   Nominated as Records Officer:

Vide Office Order Ref.:

Dated:

III. The Orientation Course

a.   Course Number:

b.   Dates:

c.   Venue:

I certify that the officer mentioned in column II has been nominated to attend the Orientation Course as per the details given in column III.

Authorised Signatory

(Signature)

Name

Designation

Official Seal

Note: Use copies, if required.