Application No.

Government of India Affix recent

Department of Space Passport size
Indian Space Research Organisation Photograph
ISRO PROPULSION COMPLEX
Mahendragiri – 627 133

APPLICATION FOR APPRENTICESHIP TRAINING

Training Position applied for Graduate / Diploma / Non Engg* Discipline

Name in full (in block letters)

Father Name & Occupation

Date of Birth (dd/mm/yyy) Sex Male / Female / Transgender *

Marital Status Nationality Category SC / ST / OBC / GEN / PWD *

Permanent Address (in block letters) Communication address (in block letters)

Mail ID
Mobile Number Aadhaar Number

Details of Qualification (Starting with SSLC or equivalent)

Year of
Examination Passed Institution / University Subjects Taken % of marks
Passing

Details of Experience and/or Apprenticeship training undergone/undergoing, if any

Period of
Name & address of Nature employment/training Reasons
Designation Pay received
organisation of work for leaving
From To

Do your replies in above two Columns cover all the

periods from SSLC or equivalent education till date?
If not, state how you spent the uncovered time.
Have you ever been arrested or detained or
prosecuted by police or punished for any offence or
misconduct by a Court of law OR is there any
proceedings involving you in progress in any court
of law; if so give details:
I affirm that the information given in this Application is true and correct. I fully understand that if at any stage, it
is discovered that any attempt has been made by me to willfully conceal or misrepresent the fact my
candidature may be summarily rejected or my apprenticeship training terminated.

Place……….......………………….
Date ……………….......….……… (Signature of the Applicant)

* strike out whichever is inapplicable