Applicant Passport
Size Color Photo
Candidate Registration Form for Apprenticeship Training
A. Personal Details :
1 Registration No (If Registered on
Portal :[Link])
2 Name of the Candidate
(As per Aadhar Card/PAN Card)
3 Father/Mother/Spouse Name
( As given in Aadhar Card/PAN Card)
4 Relationship with Candidate
5 Date of Birth DD MM YYYY
6 Gender (Male / Female) Disability / Divyang (Yes/No)
7 Aadhar Card No (UID No - 12 Digits)
8 Category (GEN/OBC/SC/ST)
Note : Name, Date of Birth, Father Name to be written as given in School Certificate/Aadhar Card/PAN Card.
B. Contact Details :
1 Address (As per
Aadhar Card)
District State
Pin Code
2 Mobile no. 1. 2.
3 Email ID
C. Qualification Details :
1 Last Education Qualification
th th
(10 /12 /ITI/Diploma/Degree/PMKVY/DDUGKY/Skill
Certificate Course)
2 Qualification Specialization
3 Institute /College/School Name
4 Percentage of Marks Obtained
D. Optional Trade Preference :
1 Sector
2 Trade
E. Aadhar Linked Bank Account Details of Candidate :
1 Account Holder Name (Candidate)
2 Account Type
3 Bank Name
4 Account Number
5 IFSC Code Number
F. List of Documents must be attached with this Form : Submitted Remarks
(YES/NO)
1 Date of Birth Proof (Self Attested Xerox Copy of Aadhar Card /PAN Card
th
/10 Pass Board Certificate /School Leaving Certificate.
2 ID Proof (Self Attested Xerox Copy of PAN Card / Driving License/Voter ID etc.)
3 Qualification Document (Self Attested Xerox Copy of Latest/Last
Qualification Mark Sheet & Certificate)
4 Bank Account No.: (Xerox of Passbook or Cancelled Cheque with Name)
5 Aadhar Card Xerox (Self Attested)
Declaration :
I hereby declare that the information submitted
by me is correct and true to the best of my
knowledge. I shall be liable for any disciplinary /
punitive action in case if the details are found to
be incorrect.
Date : Specimen Signature of Candidate
Note : Specimen Signature of Candidate is required to upload on Apprenticeship Portal for
registration & Signing of Apprenticeship Contract Form with Establishment
For Office Use
Name of Training
Establishment
Location Sector
Job Role NSQF Level :
Training Start Date Training Completion Date
Date : Signature of Authorized Person