INSTITUTE OF BIRD STUDIES & NATURAL HISTORY

Rishi Valley Education Centre (KFI) Rishi Valley - 517352, Chittoor Dist. A.P.

HOME STUDY COURSE IN ORNITHOLOGY

(Intermediate Level)

APPLICATION FORM
Name of Applicant : (as to appear in the Certificate) Date of Birth and Age : Address to which lessons are to be sent : (Pin Code must be given) Email id: Contribution: Amount : Name of Bank : Payable at : Madanapalle DD/MO : Academic Qualifications: Background knowledge of bird life/ecology/Environmental Science etc. : Attach a brief note; if none, ignore. Attach Certificate of Head of Institution in the case of students giving details of Standard/Course as proof of studentship and age.
Mr./Mrs./Ms./Master:

Signature

For Office Use Only

Roll No. Rt. No.

Duration of the Course.