Society for Bharat Ratna Sir M.

Visvesvaraya
National Training Facility for Skills for All (BMVNTFSA)
First Floor, D -3 Block, Visvsesvaraya Technological University, Campus,
Muddenahalli-562103, Chikkaballapur dist.

REGISTRATION FORM
PERSONAL DETAILS:

First Name: Last Name:

Date of Birth: Gender: Male/ Female
Religion: Category:
Specially Abled: Yes / No Ex-Service Personnel:
Phone Number: +91 - Aadhar Card Number:
E-Mail Address

FATHER / MOTHER / GUARDIAN DETAILS:

Aadhar Card Number:

First Name
Last Name
Phone Number +91 -

ADDRESS:
CURRENT ADDRESS:
Location Urban / Rural PIN Code:
Street Address
State District
Taluk City

PERMANENT ADDRESS:
Is your permanent address same as current address Yes / No
Location Urban / Rural PIN Code:
Street Address
State District
Taluk City
EDUCATION: EDUCATIONAL DETAILS

Graduate / Post Graduate :

Stream: B.E/B.Tech Subject: Civil Engineering Year of Passing: 20 -20
Language of Instruction: English Languages Known:

EXPERIENCE:
Past skill Experience? Skills Sought:
Preferred duration of Training: Willing to Take apprenticeship: Yes / No

EMPLOYMENT:

Currently Employed: Yes / No Have you been Previously Employed: Yes / No

Are you willing to Migrate: Yes / No
Expected Salary Outside District Rs. within district Rs.

SIGNATURE OF THE CANDIDATE

Enclose the following: Proof of Education / Proof of Age / Resume / Any Other
Certification / Profile Image / two passport size photos

Registration fee BMVNTFSA: 500/- NCET for Food and Accommodation: Rs. 5000/-
Account Number :520141001159425 Account Number: 74260100010153
IFSC Code: UBIN0901750 IFSC: BARBOVJYELA
Bank Name: Union bank of India Bank Name: Bank of Baroda
Branch: BANGALORE NT ROAD Branch: Yelahanka New Town
Name: M / s Society for BMVNTFSA Name: Principal
Bharat Ratna Sir M. Visvesvaraya National Training Nagarjuna college of Engineering and Technology,
Facility For Skills for All (BMVNTFSA Benagluru.