APPLICATION FORM FOR GRADUATE AND DIPLOMA ‘APPRENTICESHIP TRAINEE IN DEBEL, BANGALORE ‘Advt No, DEBELIHRDIAPPRENTICEIO4/2020 ‘GRADUATE APPRENTICE Affix DIPLOMA APPRENTICE Passport Size Photograph SUBJECT APPLIED FOR :, 41, Name in Full (Block letters) 2. Father's / Mother's/Spouse Name / J. 3. Gender 4, Age & Date of Birth 5. Category Gen / SC/ST / OBC / Other 6. Marital Status 7. Postal Address 8. Mobile No / Email Address 8, Permanent Address 10.Educational Qualifications (From SSC/Matric onwards. Attested copies to be enclosed) [Exam passed’ | Subjectis)) University | Month & | Duration of | Percentage | Dwision7 ‘Appearing Board | Yearof | Course Class Passing x xi Diploma B, Tech Other Qualification 11.Experience (if any) ‘Name of Organisation Period of service Job Description Reasons for leaving with designation From To l 12 Any information, if you want to add: DECLARATION: It is certified that the above information is true / correct to the best of my knowledge and nothing has been concealed / distorted. If any information found incorrect at any stage, | will be liable for ‘action taken by the authority 3s per existing rules / law. Place Date Signature of the candidate List of Enolosures : [List al attached documents clearly, and include a scanned passport-size photo]