BOARD OF APPRENTICESHIP TRAINING
(Northern Region)
16, 1-A, Lakhanpur, Kanpur - 208024
APPLICATION FOR APPRENTICESHIP UNDER APPRENTICES ACT.
(For use by freshly passed out candidates only)

(Application to be submitted through the institution)

1. Name of Candidate (In Block Letters) .....................................................................................................................

2. Father's Name .............................................................................................................................................................

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

...............................................................................................................................................

4. Date Of Birth .............................................................. Age..............................................

5. Sex (Male/Female)          ..............................................

6. Scheduled Caste / Tribe (Give Details) ............................................................................
7. Particulars of Final Engineering/Diploma Examination Passed:--

Degree/ Diploma

Branch of
Engg./Tech.

Institution from
where passed

University/
Board

Year of
passing

Marks Obtained/
Max. Marks

% of Marks
8. Choice of Training place ........................................................................................................................................
Certified that  (i) I have not passed above examination under Sandwich Course.
                        (ii) I have not had any job/training experience after passing the above examination.

                                                                                                                     Signature of Candidate
Date :
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(NR)  KANPUR-24

Date Recd.

Regn.

Interview

No.

Date

Offered

Joined
   

FOR OFFICE USE

Candidate to fill his address
Ref. BT/AA-10/
Dated
Sl. No. For Interview
Category : Diploma
Branch : Mech/Elect./Civil/Electro.
Computer Code No.
Date of Interview
Place of Interview

                                                     Asstt. Director

O.I.G.S.

To,
       Shri .............................................................
       .....................................................................

       .....................................................................

Pin Code : .........................................................