FOR OFFICE USE

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

GOVERNMENT OF INDIA
MINISTRY OF LABOUR & EMPLOYMENT
ADVANCED TRAINING INSTITUTE
SION, MUMBAI 400 022
AVTS BIODATA FORM
1. Name (In Block letters) :________________________________________________________________
2. Date of birth / age :_________________Male/Female :_________ ST/SC/OBC/Others:_________
3. Address with :________________________________________________________________
Telephone no. if any. ____________________________Mobile No.___________________________
4. Academic Qualification :-
Class / Std. Passed Year of passing Name of Board / University



5. Technical Qualification :-
Name of Institute/College Trade/ Diploma/Degree Year of Passing Duration of Course



6. Practical Experience :-
Name of Employer
/organization / company
Nature of works done Period Gross
salary
Reasons for leaving /
changing the job. From To



7. 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 4) Institute Training Calendar

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

NOTE :-
1. Attested copies of certificates should be enclosed with the
application form in proof of experience and qualification.
2. 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

Affix
Photo
here
To (Name & Address of Participant)
Shri/Kum./Smt._____________________
_________________________________
_________________________________
_________________________________
_________________________________
Course Name _____________________
_________________________________
From ________to ________(__ Weeks)