Scribd
Upload
48 views1 page

Application-Gov PLC Training

This document is an application form for a short term course at the Advanced Training Institute for Electronics and Process Instrumentation in Hyderabad, India. It requests information such as the applicant's name, address, contact details, demographic information, details of qualifying examinations, and enclosures including proof of payment and copies of certificates. For sponsored candidates, it provides a section for their employer to verify the application and agree to pay fees.

Uploaded by

REDDYGAARI ABBAYI
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
48 views1 page

Application-Gov PLC Training

This document is an application form for a short term course at the Advanced Training Institute for Electronics and Process Instrumentation in Hyderabad, India. It requests information such as the applicant's name, address, contact details, demographic information, details of qualifying examinations, and enclosures including proof of payment and copies of certificates. For sponsored candidates, it provides a section for their employer to verify the application and agree to pay fees.

Uploaded by

REDDYGAARI ABBAYI
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

GOVERNMENT OF INDIA MINISTRY OF LABOUR AND EMPLOYMENT

ADVANCED TRAINING INSTITUTE FOR ELECTRONICS AND PROCESS INSTRUMENTATION


RAMANTHAPUR, UPPAL ROAD, HYDERABAD - 500 013.

Affix recent passport size photograph

APPLICATION FORM FOR SHORT TERM COURSE


Registration Fee Rs. 100/Course Code :

Name of the Course : From Name of the Applicant (in BLOCK LETTERS) Fathers Name Date of Birth Address for Communication Whether belongs to SC/ST/PH/OBC To

Telephone Mobile
(for sending confirmatiom through SMS)

Pin Code

Permanent Address

Details of qualifying examination passed : (B.Sc / Diploma / ITI (NCVT / NAC)


Name of the examination B.SC / B.TECH / B.E Diploma ITI (NCVT / NAC) University / Board / Council Trade / Branch Group Maximum Marks Marks Obtained Percentage of Marks

Details of Demand Draft/PO/Cash Receipt No. & Date : I hereby declare that the information given above is true and correct to the best of my knowledge. Signature of the Applicant Date: For use in the case of sponsored candidates: The information furnished above by Sri. / Smt. / Kum. ____________________________ employed in our organization has been verified and is herewith forwarded for admission upto _________________________ (course name) as a sponsored candidate. The prescribed fee will be paid by us.
Signature & Designation of the sponsoring authority List of Enclosures : 1) IPO/DD of Rs. 100/- Registration drawn in favour of DDo, ATI-EPI, Hyderabad. 2) Attested copies of mark sheets and certificates in support of qualifying examination.

You might also like