APPLICATION FOR ONE YEAR’S UNPAID PRACTICAL TRAINING

A. STUDENT’S INFORMATION
a Name of student (IN CAPITAL)
b Gender Male (only male can apply)
c Father’s Name
d Date of Birth
e Postal Address of the students

f e-mail Address
g Contact No.

B. EDUCATIONAL QUALIFICATION INFORMATION

A Discipline MINING ENGG. / MINING & MINE SURVEYING
b Name of institution
C Year of passing
d Percentage of Marks Obtained
I, the undersigned declare:
1) That the information given by me is true in, if found any discrepancy my candidature may be rejected.
2) That I will abide the rules &regulations of the company as well as the mines act 1952

Signature of the Student

Kindly furnish the detail of employee from which reference applicant is released
C. C. W CL’S EMPLOYEE INFORMATION
A Name of the Employee
B Designation
c EIS/NEIS
d Place of Posting / unit
e Relation with the Student

Signature of the Employee

It is recommended that on the request of the student & Employee / Redt Employee of WCL, unpaid practical training for a
Period of one year may be provided to above student at our underground mine or area.

Seal & Signature Seal & Signature

COLLIERY MANAGER AREA TRAINING OFFICER

Name of the Unit :

Documents to be attached with the application formats :-

1. Attested copy of Final year’s marksheet of degree / Diploma in Mining or Mining & Mine Surveying.
2. Attested copy of HSSC / SSC marksheet or certificate as proof of Date of Birth.