APPLICATION FORM FOR C.M.S.Y To, The Director of Industries & Commerce, Assam, Udyog Bhawan, Bamunimaidam, Guwahati-21 Sub: Training/ apprenticeship of Educated Unemployed within the Country (Outside the State). Sir, With reference to Advertisement published in ...... calling upon application for educated un-employed youths, I offer my candidature for undergoing training/ apprenticeship as per Chief Minister's Swa-Niyojan Yojana and undertake to abide by any/ all conditions imposed under the scheme, in the event of myself being select for the same. Required informations in support of my candidature are furnished below: 1. Name of the Candidate : 2. Name of the Father/ Husband : 3. Permanent Address including name of Dist./ Sub-Division : 4. Present postal Address : 5. Phone No. (if any) : 6. Age on 01-01-04 : 7. General Educational qualification : 8. Occupation of father/ Husband : 9. Technical & Other qualification : 10. Annual Family income : 11. Whether/ SC/ST/OBC/MOBC etc : ( If yes, please indicate the category) 12. Whether permanent resident on Assam : 13. Nationality : 14. Type of Industrial activity in which interested to take up (a) Training apprenticeship (b) (c) 15. Whether interested to take up apprenticeship in enable Sercices: Place: Date: Signature of Candidate
