Beruflich Dokumente
Kultur Dokumente
The apprentices whose names and particularr are noted below have been engaged for undergoing apprenticeship training under the Apprentices Act, 1961 at
this Establishment during February / August 20 .They are qualiffied to be engaged as apprentices and satisfy the minimum requirements as laid down under the rules
Name of
If ex- ITI Trainees, the particulars of trade
Cast Correspondin
and ITI
categories g designated
Educational Date of Postal Address of
SR NO Name of apprentice sc/st/obc/ Adhar card no trade joined Remarks
Qualification Joining apprentice
nt/sbc/ (i.e. Trade in
minority which
Period of engaged)
Name of ITI Trade Training
From--To
1 2 3 4 5 6 7 8 9 10 11
8 ADAHAR CARD ,,
ONE PHOTO SHOULD BE PASTE ON THE FORM & OTHER SHOULD BE
STEPLE TO FORM WITH MENTIONING RESISTRATION NO. ON PHOTO
9
1 Apprentice's Name in English (in Capital only( ( as per 8th / 10th /12th marksheet)
SURNAME :
FIRST NAME :
MIDLE NAME :
2 PERMANENT ADDRESS
3 MOBILE NO.
7 APPRENTICE NO
10 SUBJECTS TO BE APPEAR*
APPRENTICE UNDERTAKING
I UNDERSIGNED STUD. KUM/SMT DECLARES THAT AFTER
GETTING MY ELIGIBILITY CERTIFICATE. I MAY PERNMIT TO APPEAR
ALL INDIA TRADE TEST HELD IN OCTOMBER/ NOVEMBER OR APRIL/MAY
SIGNATURE OF APPRENTICES
Name of Establishment-
The apprentice whose particulars are given before due to complete their period of training
on dates shown against each in accordance with the provision of the apprentices act, 1961
They are being sponsored to appear in the ALL INDIA TRADE TEST to be held in Oct _______
Sr No Name of the Registration Designated trade Date of Date of Attendence Related Maximum Conduct (Very Remarks
apprenctices and the No. Commence Completion of (likely) on the Instruction possible Good/Good/Sa
father's name ment of Training date of attendence i.e. tisfactory)
Training completion of total working
training days of the
practical Establishment
Progress record of these apprentices in Form APP-1 and APP-1A will be submitted to the Trade Testing Officer
for evaluation of sessional marks at the time of Trade Test.
Apprentices who also complete their period of training in March/September, but whose Candidature has
with-held, due to other conditions of eligibility not being fulfilled, are given below, with the reasons
therfore these apprentices have been informed accordingly
1
2
3
4 Signature of Employer
BTRI DADAR
Format - 4
Eligibility Certificate for appearing at All India Trade Test Along with
Assessment of the Apprentices
Certified that the above mentioner apprentices fulfill all the stipulated conditions laid
down in the enclosure (See overleaf) and are eligible to appear in the All India Trade Test
to be held in August 2011
The above candidates have been allowed to appear at All India Trade Test by the
RDAT/SAA as indicated on their application form enclosed herewith.
Date :
Period of Training Date of Commencement Date of Completion Date of Completion if Name of Industrial
as per contract of training of Training period of Trg. Extend Trg. Institute/Centre
Period of training
From To
EDUCATIONAL QUALIFICATION AT ENTRY
Examination Name of School / Institute Date Remarks Examination passed by National
Passed Council for Training in Vacational
Trades 1st year / 2nd year.
Signature of Apprentice
Basic Training Imparted Related instruction imparted at
Technical Training Centre, Wadala, Mumbai - 31.
Signature of Training Officer
I, II & III to be completed by the employer before submitting it to the Trade Testing Officer
I. Total No. of days of attendance during the III. Consolidated assessment of half yearly report (APP-1)
entire period of apprenticeship training. during the entire period of apprenticeship training
(i) Practical ……………….. Days out of ………...……. Subject Percentage of Sessionals Marks
(ii) Related Instruction ……… Days out of ……….
(iii) Total ………….….. Days out of …………………….. Trade Theory ………………………………………………….
W. Cal and Science ………………………………………………….
Engg. Drawing ………………………………………………….
Social Studies …………………..……………………………..
II. Conduct during apprenticeship Practical ………………………………………………….
(Basic Trg. And Shop Trg.)
IV. Exemptions obtained by filed candidates in N.C.V. T.
Trade Test with Date / Dates
Any Special remarks Minimum marks Exemption obtained
required for with marks
Subject
exemption 1st Chance 2nd Chance
Date Date
Practical (Including
Sessional Work) 280
Trade Theory (Including
Sessional Work) 72
Workshop Calculation
and Science (Including
Sessional Work) 38
Engineering Drawing
Signature of Training Officer (Including Sessional Work) 42
D:\TTC\FORM\PO APP-1
GRADING
ATTENDENCE