Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
राष्ट्र ीय विद्युत प्रविक्षण प्रवतष्ठानपूिी के्षत्र National Power Training Institute(ER)
Ministry of Power, Govt. of India
Durgapur-713216 (West Bengal) Tele Fax: 0343 2545888, 0343 2546237, 2546820,
E-mail:[email protected], www.npti.gov.in, www.nptidurgapur.com,
एनपीटीआई के साथ पावर सेक्टर का सुनननित समू्पर्ण नवकास
APPLICATION FORM ONE YEAR POST DIPLOMA IN POWER PLANT ENGINEERING 22ndBATCH- 2019-20
1. Name of The Candidate (In block letters) Mr./ Ms./ Mrs.: ____________________________________
2. Father’s Name:
_____________________________________________
3. Date of Birth:
4. Sex: 5. Nationality: _______________
6. Mobile No.:
7. Email Address: ____________________________________________________________________
8. Branch of Diploma in Engineering :( Only Mechanical, Electrical, Electrical and Electronics) ________
________________________________________________________________________________
9. Whether GEN/SC/ST/OBC/PC: _______________________________________________________
10. If Physically Challenged Please Specify the nature: ______________________________________
11. Please specify whether *sponsored (Name of Employers may be given)/Non Sponsored:
________________________________________________________________________________
12. DD/ECS Details (amounting Rs. 100/-) : DD/ECS No.______ Date:_______ Bank &Branch _______
13. Complete Postal Address with Pin code (In Block letters):__________________________________
_______________________________________________________________________________
_______________________________________________________________________________
14. Educational Qualifications (starting from 10th / 12th / Diploma, Stating subjects, College /
Institution, % of marks, year of passing)
S.No. Examination
Passed
Year Subject/
Branch
Board/
University
Percentage
of Marks/
Grade
Calculated
Percentage
of Marks **
1
2
3
Declaration: I hereby declare that the information furnished above is true & correct to the best of my belief &
knowledge.
Date: ____________ Signature of Candidate
Note: 1. Attach all documents in the check list along with the application form.
2. * Sponsored Candidates has to produce Sponsorship letter from Employer.
3. ** The CGPA DGPA/SGPA/CPI/SPI/GPA must be converted using the conversion formula to Equivalent Percentage of marks
provided by Board/ University.
D D M M Y Y Y Y
Male Female
Affix your
recent Color
Photo here.
Annexure A
CHECK LIST FOR DOCUMENT TO ATTACH ALONG WITH THE APPLICATION
(ATTESTED COPIES OF THE DOCUMENT)
Sl. No.
CHECK LIST Tick
01 Demand Draft from any Nationalized Bank in favour of NPTI, ER Payable at “Durgapur”
02 Copy of 10th Certificate indicating Date of Birth
03 Copy of 12th / ITI Certificate ( if any)
04 Copy of Diploma in Engineering Certificate / 1st, 2nd and Final year Marksheet (Indicating Degree & Marks obtained for award of Diploma)
05 In case of CGPA / DGPA / SGPA / CPI / SPI / GPA - furnish a copy of conversion formula from Registrar or Controller of Examination of the concerned Board / State Council to calculate Diploma %
06 Copy of Valid Caste Certificate for SC / ST / OBC
07 Copy of valid OBC certificate for OBC candidate, Non-CreamyLayer Certificate issued after 01/04/2019 in Central Govt. format
08 For Physically Challenged candidates – Copy of Valid PH/PC certificate
09
For Sponsored candidates only :
Attach Sponsorship letter & Experience Certificate from Employer.
Undertaking / Declaration as per Annexure B
Attested copy of appointment letter in the said Organization.
Attested copy of last salary slip.
Attested copy of bank statement for the last one year showing the credit of salary in his bank account, duly attested by Manager of Bank.
Dully filled Annexure B
ECS Details: Bank Name : State Bank of India Branch : City Centre City : Durgapur Current Account Number :10306801182 IFS Code : SBIN0006152 MICR No. : 713002207
Annexure - B
Format for Submission of Undertaking/Declaration (On Rs. 10/- Non-Judicial Stamp Paper)
to be submitted by sponsored candidate for Post Diploma Course in Thermal Power Plant
Engineering at NPTI (ER), Durgapur.
I___________________________________________________(Name of Candidate) s/o
___________________________________________________(Father's Name), Resident
of______________________(Full Permanent Address) working at___________________
(Name of the Company) as _______________________________(Designation) having
been Sponsored by the aforesaid company for pursuing Post Diploma Course in Thermal
Power Plant Engineering at NPTI Durgapur hereby solemnly affirm, Undertake and declare
that:
1. The deponent is well aware and recognizes the benefit and sponsorship being accorded
to him by his Employer Company mentioned above to pursue the course "Post Diploma
Course in Thermal Power Plant Engineering" at NPTI(ER), Durgapur.
2. That deponent recognition of above unconditionally undertakes that under no
circumstances he/she shall volunteer or claim for campus recruitments conducted at the
institute.
3. The deponent shall be bound by the present undertaking without fail and the same is
being tendered without any pressure or coercion from the Employer or NPTI Institute.
4. Payment deposited at NPTI (ER) to pursue Post Diploma in Power Plant Engineering
(2019-20) will not be refunded.
Deponent
(Candidate's Name & Address) In
Presence of-
1. Witness (Full Name & Address)
2. Witness (Full Name & Address)
ररररररररर ररररररर ररररररररर रररररररररररररररर ररररररर
National Power Training Institute(ER) Ministry of Power, Govt. of India
Durgapur-713216 (West Bengal) Tele Fax: 0343 2545888, 0343 2546237, 2546820,
E-mail:[email protected], www.npti.gov.in, www.nptidurgapur.com,
रररररररर रर ररर रररर रररररर रर ररररररररर रररररररर ररररर
TRAINING FEE STRUCTURE FOR NON-SPONSORED CATEGORY
Sl.No. Particulars Amount
(INR)
1st Instalment Admission
time
2nd Instalment 06.12.2019
3rd Instalment 07.02.2020
4th Instalment 13.03.2019
Grand Total
01. Training Fee
1,45,000/- 14500/- 58000/-/- 14500/-- 58000/-/-
`1,45, 000
02. Security deposit 2,500/- 2,500/- 00 00 00
`.2500/-
03. Conveyance
Charge 3,000/- 00 00 3,000 00
`3000.00
Total(Sl. No. 1+2+3) 1,50,500/- 17.000.00 58,000.00 17,500.00 58000.00 `1,50,500/-
04. Lodging charge
(Male) (Rs.2000 p.m)
`30,000/- 5,000/- 10,000/- 10,000/- 5,000/- `30000/-
05. Lodging charge
(Female) Rs.3,000 p.m.)
`36,000 6,000/- 12,000/- 12,000/- 6,000/- `36000/-
Grand Total (Male) 1,80,500/- 22000/- 68000/- 27500/- 63000/- `180500/-
Grand Total (Female) 1,86,500/- 23000/- 70000/- 29500/- 64000/- `186500/-
TRAINING FEE STRUCTURE FOR SPONSORED CATEGORY
Sl.No. Particulars Amount
(INR)
1st Instalment Admission
time
2nd Instalment 05.12.2018
3rd Instalment 06.02.2019
4th Instalment 13.03.2019
01. Training Fee (Sponsored Category)
2,20,000/- 14500/- 2,05500/- 00 00
`220000/-
02. Security deposit 2,500/- 2,500/- 00 00 00 `2500/-
03. Conveyance
Charge 3,000/- 00 3,000/- 00 00 `3000/-
Total(1+2+3) 2,25,500/- 17000/- 2,08500/- 00 00 `225500/-
04. Lodging charge
(Male) `30000/- 5,000/- 10,000/- 10,000/- 5,000/- `30000/-
05. Lodging charge
(Female) 36000/- 6,000/- 12,000/- 129,000/- 6,000/-
`36000/-
Grand Total (Male) 255,500/- 22000/- 218500/- 10000/- 6000/- `255500/-
Grand Total (Female) 261,500/- 23000/- 220500/- 12000/- 6000/- `261500/-