IUAC (FORMS)

Application for Apprenticeship Trainee (2023) under Apprenticeship Act 1961

Personal Details :

1. Name in full :

2. Date of birth (dd/mm/yyyy) :

3. Gender :

4. Nationality :

5. Address of Correspondence :

a. Email :

b. Mobile :

c. Permanent Address :

d. Correspondence Address :

6. Category :

7a. Whether Divyang :

7b. If yes give details :

8. Category of Apprenticeship :

9. Particulars of educational qualifications:

Aggregate percentage of marks are to be based on marks/grades in all the semesters/annual examinations completed so far (if marks are shown in grades, numerical percentage is to be indicated. (Fill only applicable degree/certificates)

Examination / Degree	Board / University	Year of Passing	Class / Grade	Percentage of Marks	Major Subjects
Graduation
Diploma
Class 12
ITI
Class 10

10. Upload Photograph:

max file size 100KB.

11. Upload Signature:

max file size 50KB.

12. Mother’s Name :

13. Father’s Name :

14.Scholarships/ Fellowship/ Awards (if any):

15. Marital Status:

16a. Whether Convicted by court of law ?:

16b. if yes give details :

17. DECLARATION:

1. I hereby declare that all the information given in the application form are true to the best of my knowledge and belief. I understand and agree that misrepresentation or omission of facts will justify denial cancellation of candidature.
2. I agree to abide by the rules and regulations of IUAC for the time being in force and such modifications thereof, which may hereafter be made.
3. I agree that the decision of the Director, IUAC in all matters concerning my selection, work, stipend, discipline and conduct will be final and binding on me.
4. I understand that my association active or passive with any unlawful organizations is forbidden.

Agree