HYDERABAD

APPLICATION FOR SKILL DEVELOPMENT PROGRAMME

(Applicant to fill in as many details as known to him)

Job Employment programme

: ________________________

Date of Submission of Application

to the District Authority

........................................

Name of the District

........................................

Please affix
your
current
passport
size photo

Personal Details :
1. Name of Applicant

:.............................................................................

2. Fathers/Husbands Name

:.............................................................................

3. Mothers Name

:.............................................................................

4. Gender (Male/Female)

:.............................................................................

5. Age (In Years and Months)

:.............................................................................

6. Date of Birth

Date ............ Month ............. Year ................

7. Whether Resident of Andhra Pradesh :

State.

Yes/No

8. Religion

Muslim/Buddhist/Sikh/Jain/Parsi

9. Whether Disabled Person

(if Yes, mention the type)

........................................................................

10. Marital Status (Married/Unmarried) :.............................................................................

11. Whether Belongs to BPL Category
(Yes/No)

........................................................................

12. Employment Exchange

Registration No. (if any)

.......................................................................

13. Aadhaar Card No. (if any)

:............................................................................

14. Whether Beneficiary of any Scheme :

of any Department/ Board etc.
(if Yes, please mention name of the
Department/ Board etc.)

........................................................................

15. Languages Known

: Urdu / Telugu / Hindi / English / ..

16. Permanent Address

H No/Land Mark : . . . . . . . . . . . . . . . . . . . . .
Ward No/Area :. . . . . . . . . . . . . . . .. . . . .
Village/Town/City ........................................
Gram Panchayat/ Municipality :
Mandal ............................ ............................
District :............................... Pin Code ..........
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17. Address for Correspondence

: H No/Land Mark : . . . . . . . . . . . . . . . . . . . . .
Ward No/Area :. . . . . . . . . . . . . . . .. . . . .
Village/Town/City.....................................
Gram Panchayat/ Municipality :
Mandal ......................................................
District :............................... Pin Code ....

18. Telephone No. for Contact (if any)

......................................................................

19. Mobile No. for Contact (if any)

......................................................................

20. E-mail (if any)

.......................................................................

21. Occupation of the Applicant

.......................................................................

22. Family Occupation

........................................................................

23. Annual Income of the Family

........................................................................

24. Academic Qualification :

Name of
Examination

Year of Passing

Name of Board/ University

Percentage of
Marks or Grade

10th / Matriculation/SSC
th

12 /Intermediate
Graduation
Post Graduation
Other
25. Technical/ Professional Qualification : Vocational Education and Training/ ITI/
Diploma/ Engineering/ Management/Medical and Nursing/ Pharmacy/ Other
S.No.

Qualification

Trade/
Branch/
Stream

Name of
Board/
University

Duration
(In Years)

Year of
Passing

Percen tage
of Marks or
Grade

26. Details of Skills Already Acquired :

S.No.

Details
of Skills

Sector

Name of
Equivalent
MES Course

Whether having a
Certificate
(Yes/No)

Skills Gained
Formally/
Informally/
Traditionally/
Inheritance

Formal Skill
Training
Duration

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27. Work Experience :

Nature of
Occupation

Sector of
Occupation

Designation
(If Any)

Duration of
Experience
(In Years)

Monthly
Income
(In Rupees)

28. Details of Skill Training Required by the Applicant :

a. Name of Sector in which Skill Training required :
b. Name of MES Course (if known)

c. MES Course Code (if known)

d. Whether willing to get Skill Training outside

the District (Yes/No)
e. Interested Training Pattern

:
: Residential / Day Scholar

29. If the Applicant has already undergone in any Skill Training under any Government programme
S.No. Sector

Name of
the
Course/
MES
Course

Name
of the
District

Name
of the
VTP

30. Placement Expectation

Beginning
Date
of
Training

End
Date of
Training

Result
(Pass/
Fail)

Certificate
Received
(Yes/No)

a. Post/Designation

b. Salary Expectation

c. Interested to work any where in the Place

(Native/District/State/India/Abroad)

------------------------

DATE:
Signature of Applicant
*VTP means Vocational Training Provider.
*MES means modular Employable Skills
Eligibility Criteria
1. Age between 18 to 33 years
2. Income limit below Rs.1.00 Lakh.
3. Must be native of Andhra Pradesh
Enclosures:
1.
2.
3.
4.
5.

Income Certificate below One Lakh Rupees.

Adhar card photo copy
Photo Copy of S.S.C or equivalent course Marks Memorandum.
Academic Qualifications if any Photo copy
Transfer Certificate of previous course/ class.
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PLACEMENT LINKED TRAINING PROGRAMME COURSES 2013-2014

Sl.
No.

Name of the
Sector

Name of the Course

Duration

Computer Assistant

CNC Operator (Computer 90 days(450 hrs)

Numerical
Controlled
Operator

ITI/Diploma/Inter

Networking

75 days (375 hrs)

Intermediate

AutoCAD

60 days (300 hrs)

Inter and above

5.

SAP

90 days (450 hrs)

B.Tech/M.Tech/MCA

90 days (4l50 hrs)

6.

System Administration
Training

B.Tech./M.Tech./MCA/B.Sc.(Mathe
matical Stream)/Diploma in
Electrical, Electronics & Computer
Science)

Mobile Applications

60 days (300 hrs)

M.Tech./B.Tech./MCA

8.

SOFT
WARE

60 days (300 hrs)

Trainee qualification

Virtualization

SSC Pass

M.Tech./B.Tech./MCA

9.

Multimedia

90 days (450 hrs)

Inter and above

75 days(375 hrs)

B.Tech/M.Tech/M.C.A.

10.

Software Technology
Training Programme
(Java/.net)

11

Computer Maintenance &

Hardware

75 days (375 hrs)

BPO-Voice Based/ NonVoice Based

90 days(450 hrs)

12

13

Solar PV Certified
Engineers

75 days (375 hrs)

14.

NDT (Non-destructive
Testing)

90 days (450 hrs)

Warehouse Air
Conditioning &
Maintenance

90 days (450 hrs)

Engineering
15.

SSC Pass
SSC

M.Tech./B.Tech.(EEE/ECE/Civil)

B .Sc., (MPC)

Any Diploma/Intermediate with

MPC

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Sl.
No.

Name of the
Sector

Duration

Trainee qualification

High Speed Sewing

Machine Operator

90 days(450 hrs)

17.

Medical Lab Technician

90 days(450 hrs)

SSC

18.

Asst. Anesthesia Tech.

180 days(900 hrs)

Inter Bi.P.C.

Asst. Respiratory
Therapy Tech.

180 days (900 hrs)

20.

Asst. Cardiac Tech.

180 days (900 hrs)

Inter Bi.P.C.

21.

Nursing Assistant

120days (600 hrs)

SSC

22.

Asst.Dialysis Tech.

180 days (900 hrs)

Inter (BiPC)
SSC

16

19

Textiles

Name of the Course

PARA
MEDICAL

23.

Tourism

Air Ticketing

90 days (450 hrs)

Health Safety &

Environment
Management

120 days (600 hrs)

24.

Fire &
Saafety

Security

Security Guards with

Army Recruitment

60 days (300 hrs)

25.

SSC

Inter Bi.P.C.

Any Diploma/Inter with Chemistry

& Maths

SSC with physical fitness

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