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 400 022

AVTS BIODATA FORM

1.

Name (In Capital letters) :_____________________________________________________________

2.

Date of birth / age

3.

Local Address with :__ _________________________________________________________

Telephone no.

:___________Male/Female :______ ST/SC/OBC/Gen/Others:______

________________________________________________________

E-mail ________________________Mobile No.(Self)________________Alternate No.______________

4.

Academic Qualification (HSC/B.Sc.) & Technical Qualification (NTC/NAC/DIPLOMA/DEGREE in Engineering

Field):-

Class / Std. Passed

Year of passing

Practical Experience :Name of Employer

Nature of works
/organization / company
done

Name of Board / University

5.

6.

Period
From
To

Gross
salary

Reasons for leaving /

changing the job.

AVTS Short-term Course in which admission is sought ( Separate Application is to be made for each

course):-

Name of the Course

7. If sponsored, Name & address of the

Sponsoring Authority:

Signature of Sponsoring Authority with stamp

Duration in Weeks

From

To

Signature of Applicant ________________________

NOTE :1. Copy of Final year Technical education Marksheet

/certificates should be enclosed with the application
form in proof of experience and qualification.

Date : ______________

To be Filled up by Participant in CAPITAL LETTERS

( Name & Address with Pin Code No.)

Place : _________________

To
Name :____________________________________
Address: __________________________________
__________________________________________
__________________________________________

TF/151.0

Pin Code No._______________________________