APPLICATION FORM FOR BASIC SKILL TRAINING COURSES

Attach passport size attested photograph 

Application for Admission in the trade:- ________________ 
Name of the institute where admission requested:-________ 
Name (in block letters)  Miss/Mrs.:____________________ 
Mailing Address: __________________________________ 
________________________________________________ 

QUALIFICATIONS

(Academic/Technical) 
 
Examination passed

Board University

Year

SUBJECTS

Division & % age of marks

 

 

 

 

 

Note: 

Please attach attested copies of the certificates/marks sheet of all examinations passed as mentioned above and one self addressed envelope of size 10 cms x 23 cms with the application form. 

Date  of Birth (in Christian Era) according to school certificate: _______________________________________ 
Marital Status (whether single or married): _____________ 
Nationality:______________________________________ 
whether SC/ST:__________________________________ 

In case of ward of Defence personnel-  
--children of deceased/disabled Ex-servicemen including those killed/disabled during peace time;   
--Children of Ex-servicemen; children of serving jawans;   
--children of serving officers;  Ex-servicemen. 

Indian postal order No.  (If not by cash): ______________   

Signature of  Parents/Guardians Signature of  Applicant 
-------------------- 

N.B :- 

Incomplete application not accompanied with the attested copies of the relevant testimonials/Certificates/mark sheets and Rs. 5/- cash/Postal orders will be rejected. 

----------cut here-------

Sl. No. Regd. No.

Acknowledgement  

(to be filled by the Candidate)

Received Application form from Miss/Mrs-------------- for the trade of       ---------along with Cash/Postal order of Rs. 5/- (five only) 

Date: 
for Principal 
(NVTI/RVTI)