Form No.: TSL/CD/VCAP/F-11 Revision:02 Effective Date:01.07.

2021

LEARNING & DEVELOPMENT

NOMINATION FORM FOR COMPETENCY TRAINING / ASSESSMENT

Through Departmental Chief with seal

VENDOR DETAILS

Vendor Name Pandit Raghunath Murmu Mahila Samiti

Vendor Code P-158

Vendor Contact No 9279875233

Vendor E-Mail ID rmmahilasamiti@gmail.com

Order Number 4800002148

Sanctioned manpower against 04 Actual Manpower 01

this Order:
CANDIDATE DETAILS:
Total Work Present
Candidates Name and
Experience in related department
Safety Pass no. Highest
Sl. No. Field Course / Skill of Working
(Mention NEW for 1st time Qualification
(For Qualified: 2 Years, in Tata
cases)
Non-Qualified: 5 Years) Steel

1 Mohit Kashyap (New) BCA 2 Years Skill PRMMS/SMI

2 Rishabh Kumar (New) Diploma (Mech.) 2 Years Skill PRMMS/SMI

DECLARATION BY VENDOR
We hereby nominate above person for the suitable competency assessment

Signature of the Contractor authorized representative with Seal

The candidate should report for training/assessment along with a valid ID Proof, Qualification Certificate & Experience
Certificate (If any deviation found Certificate will get automatically Cancelled). Send scanned copy of the approved form
to: vendorskilldevelopment@tatasteel.com; Or, Respective Location/VSD In charges.