Avts Biodata Form

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FOR OFFICE USE
1. Form No.
GOVERNMENT OF INDIA
2. Regn No.
Dt.:
MINISTRY OF LABOUR & EMPLOYMENT
3. DD No.
Dt.:
ADVANCED TRAINING INSTITUTE
SION, MUMBAI – 400 022
AVTS BIODATA FORM
1.
Name (In Capital letters) :_____________________________________________________________
2.
Date of birth / age
:___________Male/Female :______ ST/SC/OBC/Gen/Others:______
3.
Local Address with :__ _________________________________________________________
Telephone no.
________________________________________________________
E-mail ________________________Mobile No.(Self)________________Alternate No.______________
4.
Academic Qualification
& Technical Qualification
(HSC/B.Sc.)
(NTC/NAC/DIPLOMA/DEGREE in Engineering
Field):-
Class / Std. Passed
Year of passing
Name of Board / University
5.
Practical Experience :-
Name of Employer
Nature of works
Period
Gross
Reasons for leaving /
/organization / company
done
salary
changing the job.
From
To
6. AVTS Short-term Course in which admission is sought
( Separate Application is to be made for each
course):-
Name of the Course
Duration
From
To
in Weeks
7. If sponsored, Name & address of the
Sponsoring Authority:
Signature of Applicant ________________________
Signature of Sponsoring Authority with stamp
NOTE :-
1. Copy of Final year Technical education Marksheet
/certificates should be enclosed with the application
form in proof of experience and qualification.
Date : ______________
Place : _________________
To be Filled up by Participant in
CAPITAL LETTERS
To
( Name & Address with Pin Code No.)
Name :____________________________________
Address: __________________________________
__________________________________________
__________________________________________
Pin Code No._______________________________
TF/15…………1.0

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