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(Surname) (First Name) (Middle Name)

This document contains an enrollment form for apprenticeship training under the Apprentices Act of 1961. It requests information such as the applicant's name, address, educational qualifications, date of final exam results, preferred district for training, and signature. Upon receiving the application, the Board of Apprenticeship Training (Western Region) in Mumbai will provide an enrollment number for future correspondence regarding the apprenticeship program.

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Evin Joy
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71 views2 pages

(Surname) (First Name) (Middle Name)

This document contains an enrollment form for apprenticeship training under the Apprentices Act of 1961. It requests information such as the applicant's name, address, educational qualifications, date of final exam results, preferred district for training, and signature. Upon receiving the application, the Board of Apprenticeship Training (Western Region) in Mumbai will provide an enrollment number for future correspondence regarding the apprenticeship program.

Uploaded by

Evin Joy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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BOARDOFAPPRENTICESHIPTRAINING(WESTERNREGION),MUMBAI

A.T.I. CAMPUS, V.N.PURAV MARG,SION, MUMBAI- 400 022.


ENROLLMENT FORM FOR APPRENTICESHIP TRAINING UNDER THE APPRENTICES ACT,1961

1. Name of the Aspirant

: _________________________________________________
(Surname)

2. Postal Address

(First Name)

(Middle Name)

: __________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
E-mail Id

___________________________________

Phone No/Cell No ___________________________________


3. a) Educational Qualification

Degree

Diploma

Vocational 10+2

b)Name of the Course Passed : _________________________________________________


c) Exam Seat No

_________________________________________________________________

4. Date of declaration of final result: _________________________________________________


5. Name of the Institution

: _________________________________________________

6. Category

SC

ST

NT

OBC OPEN Minority


a) Whether physically handicapped -

Yes

b) Gender-

No
Male

Female
7. Choice of District where the

: 1) _______________________________________

candidate desires to undergo

2) _______________________________________

Apprenticeship Training in

3) _______________________________________

order of preference.
Date :-

Signature of Candidate

---------------------------------------------------------------------------------------------------------------------------------Received application from Mr./Miss________________________________________________________________________


Enrollment No._______________________ . Please refer this number for future correspondence.
Date: _____________

For BOAT (W.R.),Mumbai

All the enrolled candidates are advised to regularly visit, BOAT (WR),Mumbai webportal www.apprentice-engineer.com

For more information contact: 022-2405 5635/ 2405 3682

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