PART-A

Appication No. 1000004879 Training Start Date 2024-06-24 Training End Date 2024-07-06

Chargeable Category BSL Training Type NON PROJECT BASED Category GEN

Name of Student ANKIT RAJ Gender M

Name of Father CHAKRADHAR JHA Name of Mother RANI JHA

Name of Institute NATIONAL INSTITUTE OF ADVANCED

Name
MANUFACTURING
of University TECHN
NATIONAL INSTITUTE OF ADVANC

E-mail of Institute ACADEMIC@NIAMT.AC.IN Training Weeks 2

Branch METALLURGY AND MATERIALS Semester 1 Year 2

E-mail of Student RAIMUNNA9934@GMAIL.COM Mobile No. 8434761420

Address JCB HOSTEL,NIAMT,RANCHI

State JHARKHAND Pin 835217

PART-B(to be filled by On-Roll/Ex BSL Employee)

I hereby declare that I will take full responsibility for the conduct of the student during the training period.

Signature...........

Name of BSL On-Roll/Ex Employee:

Designation:

Staff Number/SAIL Pers. No.:

Forwarded (Signature and seal of E4 and above executive of BSL)

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