APPLICATION FOR REGISTRATION IN R.I.

CENTRES
PROFORMA

1. Name of Candidate :

2. Father's Name :

3. Date of Birth :

4. Trade :

5. Year of Passing :

6. Period of Training ( ITI / ITC ) :

7. Name of Institute ( ITI / ITC ) :

8. Basic Qualification :

9. Additional Qualification :

10. Whether SC / ST :

11. Address for communication :

Signature of Candidate

Signature of Training officer

/

Asst. Apprenticeship adviser