Annexure ‘A’
APPLICATION FORM FOR APPRENTICESHIP at INMAS Delhi
Advt. No. INMAS/RAC/APPR-02/2024-25
SUBJECT (in specialisation) (Tick any one): B.Sc./B.Pharma/B.L.I.Sc./Diploma L.I.Sc.
Name (in BLOCK LETTERS) | Photo (Self-Attested) | |||||||
Apprentice Category | (Graduate/ Technician Apprentice) | |||||||
NATS Registration/ Enrolment No. | ||||||||
Father’s Name | ||||||||
Gender (M/F/Others) | ||||||||
Category : SC/ST/OBC/Gen | ||||||||
Aadhar Card No. | ||||||||
Date of Birth/Age | Years: Months: Days: | |||||||
Correspondence Address | ||||||||
Permanent address | ||||||||
Phone/Mobile No. | ||||||||
Email ID | ||||||||
Education qualification (in chronological order). Self-attested copies to be enclosed | ||||||||
Sl. No | Examination/ Degree | Board/ University | Subject | Year of Passing | % Marks | Division/Class | ||
Declaration: I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of my information being found false or incorrect at any stage, my candidature / appointment shall be liable to cancellation / termination without notice or any compensation in lieu thereof. | ||||||||
Place:
Date: (Signature of the applicant)
List of enclosures:
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(Note: - Application should be submitted in typed format and hand written application will be summarily rejected)