RULES



REGISTRATION FORM

27th Regional Work Skill Competition

23 - 25 February 2015 : Advanced Training Institute, Guindy, Chennai

Please complete and mail to:

C V Ilavalagan

Confederation of Indian Industry

98/1 Velachery Main Road, Guindy, Chennai – 600 032

Tel: 044-42444555 Fax: 044-42444510

Email: cv.ilavalagan@cii.in

1. Name of the Candidate (In BLOCK LETTERS)…………………………………………………………………....

2. Date of Birth …………………………………………. Age (as on 31.12.2014)…………………………………

3. Present Trade/Designation …………………………………………………………………………………………….

4. Category (Please tick) I (Upto 22 years of Age)

II (Above 22 years of Age)

5. Academic/Technical Qualification ……………………………………………………………………………..……

and Brief & Chronological Description of Service Experience ………………………………………….

6. Trade (please tick the appropriate box):

□ COPA

□ Tool & Die Maker

□ Fitter

□ COPA

□ Instrument Mechanic

□ Industrial Electronics

□ Refrigeration

□ Electrician

□ Machinist (Miller)

□ Welder

□ CNC Milling

□ CNC Turning

□

7. Year & Trade (in case of previous prize winners)…………………………………………………………………………………………..…

________________________________________________________________________________________________

Our DD / Cheque No.…………… dated …………… for Rs.……………….drawn in favour of Confederation of Indian Industry payable at Chennai is enclosed.

|Participation Fee : |

|For ITI / Engineering / Polytechnic Students |Rs. 2,809/- (Rs. 2500 + 12.36% Service Tax) |

|For Industry |Rs. 8,427/- (Rs. 7500 + 12.36% Service Tax) |

Certified that the above statements made by the candidate are true. We agree to sponsor this candidate for participating in the 27th CII Regional Work Skill Competition being organized by CII (SR) during

23 - 25 February 2015 as per the Rules of the Confederation.

Date: ………………………………………………

Company Seal : Signature of the employer …………………………………..

Name of the Sponsor : ……………………………………………………………………………………

Designation : ……………………………………………………………………………………

Organization : ……………………………………………………………………………………

Address : ……………………………………………………………………………………

Telephone : ……………………………………Fax …………………………………………

Email : ……………………………………………………………………………………

← Delegate fee is non-refundable but Change in nomination(s) is acceptable. Outstation candidates are to make payment through Demand Draft only.

← Please make photo copies of the Sponsorship Form as required for additional candidates.

← Photograph should be attested by the Employer. (Please attach two recent passport size photographs - one to the Sponsorship Form and one for the Admit Card)

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[pic]

Attach

Stamp size

Photograph

Only Category II will be able to participate in these trades

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