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Application Form For: Apprenticeship Training Under The Apprentices (Amendment) Act, 1973 & 1986)

This document is an application form for apprenticeship training under the Apprentices (Amendment) Act of 1973 and 1986. The form requests personal information such as name, father's name, caste, educational qualifications, discipline studied, marks/grades obtained, year of passing, present status, preference for training region, and contact information. The applicant must sign to confirm the information provided is true, and enclose attested copies of documents like mark sheets and certificates. The form also includes a section for the institution to verify the application.

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Md Ali Major
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835 views1 page

Application Form For: Apprenticeship Training Under The Apprentices (Amendment) Act, 1973 & 1986)

This document is an application form for apprenticeship training under the Apprentices (Amendment) Act of 1973 and 1986. The form requests personal information such as name, father's name, caste, educational qualifications, discipline studied, marks/grades obtained, year of passing, present status, preference for training region, and contact information. The applicant must sign to confirm the information provided is true, and enclose attested copies of documents like mark sheets and certificates. The form also includes a section for the institution to verify the application.

Uploaded by

Md Ali Major
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR

APPRENTICESHIP TRAINING UNDER THE APPRENTICES (AMENDMENT) ACT, 1973 & 1986) (Note :- All Blocks are to filled up completely in Block letters. Mention N.A, if not applicable. Any claim by students will not be entertained by BOPT(ER) for error in the furnished details.)

1. Name:Mr./Miss/Mrs First name Middle Name Surname

(Fix passport size photograph)

2. Fathers Name :3. Caste :Gen./S.C/S.T/Min./OBC

4. Name of the Institution from where you have passed:5. Level :- (Put mark on the box which is applicable in your case) Degree Diploma H.S.(10+2) Vocational D 6. Discipline:7. Grade/Percentage of Marks (Over all). 8. Year of Passing:9. (Put mark on the box which is applicable in your case) (A) Present Status:Interested (i) Employed (ii) Not Interested for Apprenticeship training (iii) Interested but joined higher studies (iv) Interested for apprenticeship training (B) Preference for Training (Region), If (i) Northern (ii) Western (iii) Southern (iv) Eastern
(Up to two places of decimal)

10. Physically Handicapped (Put mark in the box if applicable) 11. Correspondence Address:(i) House/Flat No. (ii) Street (iii)Village/City/Town (iii) P.O (iv) P.S (iv) Pin code (v) District (vi) State (vii) Sub Division (viii) Nearest Railway station (ix) Phone No
(STD Code) (Phone number)

(x) e-mail address The above information is true to the best of my knowledge. Attested Xerox copies of final year mark sheet, certificate, cast certificate etc. are enclosed herewith.

(Signature of the applicant with date)


(For the use of Institution only)

The application form dully filled in & signed by Shri/Smt. ----- ---------------------- has been verified and checked by this office/institution. -----------------------------------------------------------------------------(Signature of the Principal/Competent Authority of the Institution with date & Seal)

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