SCHEDULE III ( See rule 10 )

FORM APP – 1 ( FRONT SIDE) PERSONAL DETAILS

Name and address of !

the establishment : !
-------------------------------------------------------------------------------------------------------------- !
Registration No. & date ! Designated Trade ! Date / Year of ! Whether belongs !
of execution of contract ! ! birth ! to scheduled caste/ ! Passport size
! ! ! scheduled tribe ! Photo of
! ! ! | Apprentice
---------------------------------------------------------------------------------------------------------------!
Name & Address of apprrnticeship ! Name & Address of Father/Guardian !
! !
! !

! !
--------------------------------------------------------------------------------------------------- -----------!
Period of training! Date of commence! Date of completion ! Date of completion if !
as per contract ! ment of training ! of training ! period of training !
! ! ! extended !
! ! ! !
! ! ! !
! Details of previous training if any
! Name of Industrial Training Institute /
! Training Institute/ Centre :
!
! Designated Trade :
----------------------------------------------------------------------------------------!
Educational Qualification at Entry ! Period of training :
-------------------------------------------------------------------------------------------- ! From To
Examination passed ! Name of school/ Institute ! Date ! Remarks !
---------------------------------------------------------------------------------------------! Examination passed by National council
! ! ! ! for Training in vocational Trade :
! ! ! ! 1 year / 2 year
! ! ! !
------------------------------------------------------------------------------------------------------------------------------------------
Basic Training imparted at Related instruction imparted at !
! Signature of apprentice

! Signature of Training Officer

1. II & III TO BE ENTERED BY THE EMPLOYER FOR SUBMITTING TO THE TRADE TESTING OFFICER
I. Total No. of days of attendane during the entire period II . Consolidated assessment or half yearly
apprenticeship training. reports( App.1) during the entire period of
1. Practical .............. days out of .....................
2. Related insruction .................. days out of ............. Subject % of
Sessional Marks
-----------------------------------------------------------
Trade Theory ....................................
W. Cal. & Science ....................................
Engg. Drawing ....................................
Social Studies ....................................
Practical .....................................
Basic Training ....................................
Shop Training ...................................
...............................................................................................................................................................................................................
Conduct. during apprenticeship IV. Exemptions obtained by failed candidate in N.C.T.V.T. Trade
Test With date/dates
......................................................................... -------------------------------------------------------------------------------
......................................................................... Subject Minimum marks Exemption obtained
......................................................................... required for with marks
Any Special Remarks exemption ...........................................
................................................................. ...... Ist change IIn
chance ....................................................................... date date
....................................................................... -----------------------------------------------------------------------------------
Practical 280
(Including sessional work)
Trade theory 72
(Including sessional work)
W. Cal. & Science 35
(Including sessional work)
Engg. Drawing 42
(Including sessional work)

Signature of Training Officer