Board Of Apprenticeship Training, (western Region) 51w10
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APPLICATION FORM FOR APPRENTICESHIP TRAINING Board of Apprenticeship Training(W.R.)A.T.T.Campus, Sion, Mumbai ‐4000 022.
1.Name 2.Postal Address Email Id 3.Discipline/Subject ed (Enclose final year marksheet) 4.Category
:VATSALKUMAR DEVRAJ BHALODIYA :BLOCK NO 401 GOLDEN PALACE APP PATEL NAGAR ZANZARDA ROAD JUNAGADH,JUNAGADH,JUNAGADH,GUJARAT362001
: [email protected], Phone No.,7878167817 :Degree in CIVIL ENGG Percentage of Marks65.1% :General
5.Month & Year of declaration of Final Year Result 6.Name of the University / Board
:12/02/2015 :GUJ. TECHNOLOGICAL UNIVERSITY
7.Choice of cities where apprenticeship training is required :a.RAJKOT b. JUNAGADH c. GONDAL in order of preference
DECLARATION / AFFIDAVIT
I _____________________________________ son/daughter of ______________________________ aged ____________ residing at ______________________________ hereby solemly affirm and state as under :
1. That I ed my Degree / Diploma / 10+2 Vocationa Higher Secondary Certificaate examination in _______________ from _____________________________________________________ Polytechnic / College / School at _________________________in ________________________________
2. That after ing the above said examination. (a) I did not have training or job experience for one year or more. (b) I did not under go apprenticeship training at any place under the Apprentices Act.
what is stated above is true to the best of my knowledge & belif.
Date : Place :
Signature
1.Name 2.Postal Address Email Id 3.Discipline/Subject ed (Enclose final year marksheet) 4.Category
:VATSALKUMAR DEVRAJ BHALODIYA :BLOCK NO 401 GOLDEN PALACE APP PATEL NAGAR ZANZARDA ROAD JUNAGADH,JUNAGADH,JUNAGADH,GUJARAT362001
: [email protected], Phone No.,7878167817 :Degree in CIVIL ENGG Percentage of Marks65.1% :General
5.Month & Year of declaration of Final Year Result 6.Name of the University / Board
:12/02/2015 :GUJ. TECHNOLOGICAL UNIVERSITY
7.Choice of cities where apprenticeship training is required :a.RAJKOT b. JUNAGADH c. GONDAL in order of preference
DECLARATION / AFFIDAVIT
I _____________________________________ son/daughter of ______________________________ aged ____________ residing at ______________________________ hereby solemly affirm and state as under :
1. That I ed my Degree / Diploma / 10+2 Vocationa Higher Secondary Certificaate examination in _______________ from _____________________________________________________ Polytechnic / College / School at _________________________in ________________________________
2. That after ing the above said examination. (a) I did not have training or job experience for one year or more. (b) I did not under go apprenticeship training at any place under the Apprentices Act.
what is stated above is true to the best of my knowledge & belif.
Date : Place :
Signature
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