Residential Training Programme on

PACKAGING TECHNOLOGY
26th 30th May, 2014
Particulars of Person Recommended for Participation
Name of the Organisation making recommendation : ________________________________________
Name of Participant :

______________________________________________________________

Address (Office) :

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Tel./Fax :

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E-mail :

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Permanent Home Address : ______________________________________________________________

a) Age / Date of Birth :

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b) Place of Birth :

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c) Sex :

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Educational Qualifications : ______________________________________________________________

Practical Training :

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Employment Experience : ______________________________________________________________

Present Job Duties
(Limit to 3 major duties) : ______________________________________________________________
Title of Present Position : ______________________________________________________________
Special Skill :

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Publication :

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Any other Relevant :

______________________________________________________________

Information

______________________________________________________________

Signature of Applicant
CERTIFICATE FROM EMPLOYER
Date : _________________
We have gone through the terms and conditions of the APF Programme and shall abide by these in
case nominee is finally selected for the Programme.

Signature of the Sponsoring Authority