CTIApplication PDF
CTIApplication PDF
CTIApplication PDF
GOVERNMENT OF INDIA MINISTRY OF LABOUR & EMPLOYMENT Directorate General of Employment and Training CENTRAL TRAINING INSTITUTE FOR INSTRUCTORS, GUINDY, CHENNAI-600032 PHONE: 044-22501593, 22500437 FAX: 044-22500437, 22500387 E-MAIL ctiadmission@gmail.com FOR OFFICE USE ONLY 30% Xth (1) 05% XIIth ( 2) 05% Degree(3) 50% NTC (4) 60%NAC (5) 60%Diploma (6 ) Total 100% (*)
* 1+2+3+ (4 or 5 or 6)
Registration No
PHOTO 2) Date of Birth: 3) Nationality: 4) Fathers/Husbands Name: 5) Residential Address: Door No.: District : Name of the Street: City Contact Cell Phone No. Village /Area State E-mail
PIN Code:
6) SEX
7) Whether belongs to SC/ST/PH/EX/Category: YES / NO, (Certificate to be enclosed) 8) Details Previous Modules Completed: Name of the Module completed Training Methodology Engg.Technology Trade Technology -1 Trade Technology -2 Month and Year Result Pass / Fail
Admission No
-2-
CTI
10) Date of commencement of course (Refer prospectus for details) 11) Qualification a) Academic : Sl.No Examination University/Board Passed
Xth XII Graduation
Year Class
% of Marks
Main Subject
(Attested Photostat copies of mark sheets, to be attached) b) Technical: Sl.No Certificate/ Trade/ Branch Institute attended Diploma 1 2 3 NTC NAC Diploma
Year of passing
% Remarks of Marks
(Attested Photostat copies of mark sheets, to be attached) 12) Payment Details of Registration Fee.
IPO / DD No. Date Amount Name of the Bank/Post Office other Particulars :
13) Any
I certify that the information given in item 1 to 13 is correct to the best of my knowledge and belief. In the event of my selection for admission to the institute, I undertake to abide by the rules and regulations and discipline of the institute
Date: Station: