APPLICATION FORM FOR ADMISSION TO MTI COURSES UNDER
CRAFTSMEN TRAINING SCHEME FOR THE SESSION COMMENCING
FROM 1st AUGUST,
Cost of application: Rs. 25/-
Registration fee: Rs. 50/-
Sl. No.__________________Category___________________
| Latest Photograph |
Regn. No.________________
GOVERMENT OF INDIA
MINISTRY OF LABOUR & EMPLOYMENT
ADVANCED TRAINING INSTITUTE
SION, MUMBAI-400 022.
NOTE : This form should be filled by the applicant in his/her
own handwriting for
EACH TRADE SEPARATELY.
1. Name of trade for which admission is sought :__________________________
2. Full Name of the applicant (in BLOCK letters
:_________________________________ (Male /Female)
(First Name) (Middle Name)
(Surname)
3. Mailing address
:_______________________________________________
:_______________________________________________
:_______________________________________________
4. Permanent Address
:________________________________________________
:________________________________________________
:________________________________________________
5. (a) Date of birth (b) Age as on 1st August 2005 : (a)_________________ (b)______________
6. Educational Qualification (Attach attested true copy of the
marksheet of 10th/12th class / Diploma or its equivalent
also see Sl. No. 1 to 3 of 'NOTE overleaf)
:-_______________
| Subject | Marathi | Hindi | English | Maths | Science | Social Studies | Grand Total | Remarks (Pass/fail) | Percentagae |
| Max. Marks |
|||||||||
| Marks Obtained |
7 Nationality :_______________________
8. a. Name of the Parent/Guardian
:
_____________________________________________
b. Occupation
`
:_____________________________________________
c. Office
Address :_____________________________________________
d. Relation with the candidate
:_____________________________________________
10. a. Whether belongs to
SC/ST/OBC :
YES/NO.
b. If YES, indicate sub-caste/tribe
:______________________
P.T.O/.....
ACKNOWLEGEMENT
Form Sl. No.__________________
Received Rs. 5/- from
Shri/Kum/Smt.____________________________________________________as
Registration charges for Admission of MTI in the trade of
_________________________________under Craftsmen
Training Scheme for the session commencing from August, 2002. Registration No. is
____________________________
Date : _____________
Signature of the Receiver
...P. T. O./-
10. Whether your Father/Mother is an
: Yes/No
Employeee of DGE&T
11. a. Are you Physically handicapped?
: Yes/No
b. If YES, mention the % of disability.
:-------------------%
12. Are you a ward of Defence Personnel? : Yes/No
( If YES, enclose a copy of the service certificate
issud from Service
Walefare Office and indicate one of the category
given below)
a. Son/Doughter of deceased/disable Ex-Serviceman
: Yes/No
including those
killed/disable during peace time
b. Son/Doughter of Ex-Serviceman.
: Yes/No
c. Son/Doughter of Serving Jawans.
: Yes/No
d. Son/Doughter of Serving Officers.
: Yes/No
13. Any other particulars :------------------------------------------
I certify that the information given at
Sl.No. 1 to 13 are correct to the best of my knowledge.In the event of my admission in the
institute, I undertake to abide by the rules, regulation and discipline of the institute.
______________________________
________________________
Signature of Parent/Guardian awith date
Signature of applicant with date.
NOTE:-
1. Incomplete application and application not accompanied with photograph, attested copies of Certificates and marksheet, etc. will not be considerd.
2. Selected candidate shall submit an affidavit stating that in case their Certificates in respect of qualification and other antecedents are found false, thay would be discharge on the same days from training and shall be procecuted as per law of the land .
3. true copies of certificates issued by competent authorities, attested by Gazetted Officer of state/central for Sl.No. 5 to 13 must be enclosed, as applicable.
4. Strike out wichever is not applicable at Sl.No. 9 to 12.
------------------------------------------------------------------------------------------------------------------------------
N O T E
| 1. | Candidate are required to see the Notice Board of the Institute where merit list and dates of admission will be displayed.no correspondence will be made with the candidates regarding admission. | |
| 2. | At the time of selection/admission- | |
A. |
The following document are required to be produced in
original: School Leaving Certificate. Marksheet of the qualifying examination. Certificate for Sl.no.5 to 13 of application form,as applicable. |
|
| (The above mentioned certificate of the selected candidates will be retained by the Institute till the completion of the training). | ||
| B. | The candaidate will pay the following fees:- | |
| 1. | Tuition fee for entire training period except IT&ESM and COPA : Rs.240/-(1 year corse) / RS.480/-(2 year course) / ( No Tuition fee is charged from SC/ST candidates) :720/-(3 year course) | |
| 2. | Caution Money | |
3. |
Tuition fee for IT&ESM and COPA @ Rs.200/-per months :Rs.2400/-(1 year course) / Rs.4800/-(2 year course). | |
| FAILING 2 (A & B) ABOVE THE SELECTED CANDIDATES WILL NOT BE
ADMITTED. NO EXTENSION OF TIME FOR 2 ( A&B) ABOVE WILL BE ENTERTAINED. |
||