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  • Advt 08 Dec 2011 Gujrat

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    Sandiip Jogdankar
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    This document is an application form for a diploma apprenticeship. It requests information such as the applicant's name, father/spouse's name, address, contact details, date of birth, age, gender, nationality, religion, caste, educational qualifications and work experience. The applicant needs to attach copies of documents like proof of date of birth, mark sheets, certificate and experience certificate. The applicant also needs to declare that the information provided is true and correct.

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    This document is an application form for a diploma apprenticeship. It requests information such as the applicant's name, father/spouse's name, address, contact details, date of birth, age, gender, nationality, religion, caste, educational qualifications and work experience. The applicant needs to attach copies of documents like proof of date of birth, mark sheets, certificate and experience certificate. The applicant also needs to declare that the information provided is true and correct.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    7 views2 pages

    Advt 08 Dec 2011 Gujrat

    Uploaded by

    Sandiip Jogdankar
    This document is an application form for a diploma apprenticeship. It requests information such as the applicant's name, father/spouse's name, address, contact details, date of birth, age, gender, nationality, religion, caste, educational qualifications and work experience. The applicant needs to attach copies of documents like proof of date of birth, mark sheets, certificate and experience certificate. The applicant also needs to declare that the information provided is true and correct.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    APPLICATION FORM For Diploma Apprentices (USE CAPITAL LETTERS ONLY) Affix your Passport size Photograph Here

    Discipline:

    1.

    Full Name (Beginning with Surname) Fathers / Spouses Name

    2.

    3.

    Address for Correspondence

    4.

    Tel. No. / Mobile No.

    5.

    E-Mail Address Date (DD) a) Date of Birth Month (MM) Year (YYYY)

    6 b) Age as on 1/12/2011 7. 8. 9. 10. Sex (Please Tick) Nationality Religion SC Category (Please Tick) State of Domicile 11. If Gujarat, period of stay at Gujarat From To ST OBC General ________ years ________ months Male Female

    12.

    Educational Qualification Duration of Course Class / Division obtained Month & Year of Passing Name of University / Institute/ Board

    Qualification (Std. Xth / SSC onwards)

    Whether Apprenticeship Training done under Apprentices Act 1961? 13. (If yes, period thereof) Total Work Experience as on 01.12.2011 Designation Nature of Duties

    Yes

    No

    From

    To

    Years

    Months

    14.

    Name of Organization

    Period From To

    Enclosures: Attested copies of a) Date of Birth Proof (HSC/ SSC Certificate) b) Diploma Mark Sheets c) Diploma Certificate d) Experience Certificate (if experienced) e) Caste Certificate (if applicable) Declaration:

    I hereby declare that the particulars furnished above are true, complete and correct to the best of my knowledge and belief. I understand that, if at any stage it is found that the information given is false or incorrect or I do not satisfy the eligibility criteria, my candidature / engagement is liable to be cancelled / terminated.

    Date: ____________ Place: ___________ __________________ Signature of Applicant

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