Form & Registration Fee @ Rs.

100/-

FOR OFFICE USE

1.Form No: ............................................
2. Regn No:.......................Dt.................
3. DD NO: .......................Dt...................

GOVERNMENT OF INDIA/ MINISTRY OF LABOUR & EMPLOYMENT

ADVANCED TRAINING INSTITUTE
SION, MUMBAI-400022
AVTS BIODATA FORM
1. Name ( In Block letters)

:....................................................................................................................................................................................................................

2. Date of Birth / age

: ....................................................................................................................................................................................................................

3. Address Mailing with

Telephone No. if any

: ...................................................................................................................................................................................................................
....................................................................................................................................................................................................................

4. Academic Qualificcation :
Class/Std.Passed

Year of Passing

Name of Board /University

5. Technical Qualification:
Name of Institute /College

Trade/ Diploma/Degree

Year of Passing

Duration of course

6. Practical Experience :
Name of Employer

Nature of works done

Gross Salary

Period
From

To

Reasons for leaving /

changing the job.

7. Course in which admission is sought ( Separate Application is to be made for each course):
Name of the Course

Duration

From

TO

Whether Private / Sponsored : ..............................................................................................................................................................................................................

( If sponsored , indicate addresss of the employer) .........................................................................................................................................................................
.........................................................................................................................................................................
Place :
Signature of Applicant : ......................................................................................................................
Date :
Signature of Employer with Office seaL.......................................................................................
NOTE:1. Attested copies of certificates should be enclosed with the application form in proof of experience and qualification.
2. The Form & Registration fee charges @Rs. 100/- should be payable by Demand Draft in favour of " The Director,ATI Mumbai-22"
To: ( Name & Address of the Candidate )
Shri/Mr./Mrs/Miss....................................................................
........................................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
Name of course :.....................................................................
.......................................................................................................
From:............................ TO.........................................(weeks)

ACKNOWLEDGEMENT
ADVANCED TRAINING INSTITUTE, SION ,MUMBAI-400022
Received From No: ............................& Registration Vide No:...........................................
Dt:...........................Also received DD vide No:.................................Dt:................................@
Rs.100/- towards cost of Form & Registration for AVTS short- term course..............
on ........................................................................................................................................................
From ......................To........................................................................................................................
Name of Applicant:......................................................................................................................
Signature with office Seal.................................................................