BOARD OF PRACTICAL TRAINING (ER), KOLKATA
APPLICATION FORM FOR ENROLLMENT FOR APPRENTICESHIP TRAINING
UNDER THE APPRENTICES (AMENDMENT) ACT, 1973,1986 & 2014
Mandatory
Field Name
(Yes/No)
Registration type
Registration Type
(Degree / Diploma / H.S. (Voc.)
Yes
State to which College belongs
To be filled by Degree Students
Yes
Name of the College
Yes
Name of the Univesity
Yes
Branch of Engineering
Yes
University Registration Number /
Enrollment Number
/ Roll Number.
Month of Passing
Yes
Year of Passing
Yes
Class Obtained
No
% of Marks / CGPA
Yes
10/+2/Diploma Reg. No.
Yes
Unique ID No. (Adhar No.)
No
Yes
State to which College belongs
To be filled by Diploma Students
Yes
Name of the College
Yes
Name of the Board
Yes
Branch of Engineering
Yes
Month of Passing
Yes
Year of Passing
Yes
Class Obtained
No
% of Marks / CGPA
Yes
DOTE/DTE Registration No.
Yes
10th STD Registration No.
Yes
Unique ID No. (Adhar No.)
No
State to which School belongs
To be filled by H.S. Vocational Students
Yes
Name of the School
Yes
Place
Yes
Name of the Board
Yes
Vocational Course
Yes
Month of Passing
Yes
Year of Passing
Yes
% of Marks
Yes
State Board of Vocational Higher
Secondary Registration No
Unique ID No. (Adhar No.)
Yes
No
Personal information
Name of the Candidate
Yes
Fathers Name
Yes
Mothers Name
No
Gender
Yes
Date of Birth
Yes
Community (GEN/SC/ST/OBC)
Yes
Physically Disabled
Yes
Minority Community
Yes
Address
Region (ER / SR / WR/ NR)
Yes
Door & Street
No
Village/Locality
No
City/Town
Yes
State
Yes
District
Yes
Taluk
Yes
Pincode
Yes
Phone Number
No
Mobile Number
Yes
Secondary Email ID
No
Primary Email ID
For Graduate/ Diploma Students
Yes
For Vocational Students
Primary Email ID
No
Choice of Cities
No
The above information is true to the best of my knowledege. Attested Xerox copies of final year mark sheet,
Certificate, Caste Certificate etc. are enclosed herewith.
Signature of the Applicant with date