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Engineering Apprenticeship Form

This document contains an application for apprenticeship training at the Fluid Control Research Institute. It requests information such as the applicant's name, address, contact details, educational qualifications, languages known, references, family details, and a declaration signed by the applicant. The applicant is asked to provide academic records and details of any short term courses or professional training programs completed.

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Rahul S
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70 views4 pages

Engineering Apprenticeship Form

This document contains an application for apprenticeship training at the Fluid Control Research Institute. It requests information such as the applicant's name, address, contact details, educational qualifications, languages known, references, family details, and a declaration signed by the applicant. The applicant is asked to provide academic records and details of any short term courses or professional training programs completed.

Uploaded by

Rahul S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPRENTICESHIPTRAINING

CONFIDENTIAL
P & A Ref. No:

FLUID CONTROL RESEARCH INSTITUTE


(An Autonomous R & D Institute under Ministry of Industry)
Dept. of Heavy Industry, Government of India Photo
Kanjikode West, Palakkad 678 623, Kerala, India
Phone: 0491-2566206, 2566120, 2566119 Fax: 0491-2566326,
Email:customercare@[Link]
Graduate Engg Diploma Engg
Apprenticeship Training :
Branch of Study :

Name in Full :
(BLOCK CAPITAL)

Father's Name & :


Occupation

Present Address :

Permanent Address :

:
Email

Mobile No :

Passport Number : Date till valid:

Age* & Date of Birth: :

Marital Status :

Nationality :

State of Domicile :
&Mother Tongue

Religion / Caste :

Scheduled Caste /
Scheduled Tribe :
Read :
Languages known Write :
Speak :

Have you ever been Interviewed earlier in FCRI :

ACADEMIC RECORDS*
Year Course & Specialization School/College / Class &
University & Institute Percentage of
Marks
From To

Short term courses / Professional :


Training Programmes*

Give (Two references (not related to you) who are well acquainted with your
background, service career and character etc.
1. Name :
Occupation :
Address :
2. Name :
Occupation :
Address :

DETAILS OF YOUR FAMILY MEMBERS


Member Name Occupation (if Present postal Permanent
employed give address Home address
official address)

Father (Name in
full address if any)

Mother

Wife/Husband

Brothers/Sisters

Any relevant information that you may wish to furnish


DECLARATION

I hereby certify that the particulars furnished as above are true, correct and
complete in all respects. I agree and accept reservation that at any time, if any of
the particulars is found to be untrue, incorrect and /or incomplete, my
appointment in the Institute, may be terminated without notice.

Signature
Place :

Date :

*Please attach Copy of supporting documents.

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