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FOR OFFICE USE

1. Form No.____________
2. Regn No.______________Dt.: _________
3. DD No. ______________ Dt.: _________

Affix
Photo
here

GOVERNMENT OF INDIA
MINISTRY OF LABOUR & EMPLOYMENT
ADVANCED TRAINING INSTITUTE
SION, MUMBAI 400 022

AVTS BIODATA FORM


1.
2.
3.

Name (In Block letters)


Date of birth / age
Address with
Telephone no. if any.
4.
Academic Qualification
Class / Std. Passed

:________________________________________________________________
:_________________Male/Female :_________ ST/SC/OBC/Others:_________
:________________________________________________________________
____________________________Mobile No.___________________________
:Year of passing
Name of Board / University

5.

:-

Technical Qualification
Name of Institute/College

Trade/ Diploma/Degree

Practical Experience
:Name of Employer
Nature of works done
/organization / company

Year of Passing

Duration of Course

6.

7.

Period
From
To

Gross
salary

Reasons for leaving /


changing the job.

Course in which admission is sought ( Separate Application is to be made for each course) :-_
Name of the Course
Duration
From
To

Whether Private / Sponsored ( If sponsored, indicate address of the Employer) : __________________________


HOW DO YOU CAME TO KNOW ABOUT SHORT TERM COURSES CONDUCTED BY THIS INSTITUTE
1. Through known person 2) From which Newspaper ____________________ 3) Website

To (Name & Address of Participant)


Shri/Kum./Smt._____________________
_________________________________
_________________________________
_________________________________
_________________________________
Course Name _____________________
_________________________________
From ________to ________(__ Weeks)

4) Institute Training Calendar

Place :- ______________________
Date :-_______________________
Signature of Applicant __________________________
Signature of Employer (If sponsored)________________
NOTE :1.
2.

Attested copies of certificates should be enclosed with the


application form in proof of experience and qualification.
The Form & Registration fee charges @ Rs. 100/- should be
payable by cash / DD in favour of The Director,ATI, Mumbai

ACKNOWLEDGEMENT
ADVANCED TRAINING INSTITUTE, SION, MUMBAI 400 022.
Received Form No.____________ & Registration vide No. _____________ dated _________________.
Also received Cash Receipt /DD vide No. _____________ dated ______________ @ Rs.100/- towards cost of
Form & Registration for AVTS short-term course on _______________________________________________
form___________ to _____________. Name of Applicant:__________________________________________
Signature with Official seal

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