BOARD OF APPRENTICESHIP TRAINING

(NORTHERN REGION)
Plot No. 16, Block 1-A, Lakhanpur, Kanpur – 208 024(U.P.)
Application for Apprenticeship Training under Apprentices Act. 1961
(For use by freshly passed out candidates)
Application to be Submitted Through the Institution

1. Name of Candidate
(in block letters)…………………………………………………………………………………………………...

2. Father’s Name………………………………………………………………………………………………..........

3. Address for correspondence…………..………………………………………………………………………….

………..…………………..……………………………………………………………Pin..……………………

Phone No………..…………..… Mobile No……...………………..E-mail – ID………………………………

(With STD Code)

4. Date of Birth……………………..………… Age………………..……. Male/Female…..……………..……..

5. Scheduled Caste/Tribe/OBC/PH/Minority (Give Details)…………………………..........................................

6. Particulars of Final Senior Secondary Certificate Examination in Vocational Course passed :

Subjection Field/Branch Name of University/Board Year of Marks obtained/ % of Marks
of Vocational Course Institution Passing Max. Marks

7. Choice of training place……………………….…………………………………………..……………………

Certified that (i) I have not had any job/training experience after passing the above examination.

Date : Signature of Candidate

Certified that the above particulars are correct.

Date : Signature of Head of Institute

(with official seal)
For use by the Office of the Board of Apprenticeship Training, Kanpur-208 024.
Date Recd. Regn. INTERVIEW Offered Joined
No. Date

For Office Use Candidate to fill his address

Ref. BT/AA-10/ O.I.G.S.
Dated
Sl. No. for Interview
Category : Vocational course
Subject Field………………………………
Date of Interview
Place of Interview
To,
Asstt. Director. ……………………………………………
……………………………………………
……………………………………………
……………………………………………
Pin Code…..………………………………