ESTABLISMENT ASSESSMENT FORM

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1 1. Name of Establishment:. a) Registered Office Address: Pin Code Tel. No.:. Fax No.:... Off Day: Website:..... a) Factory / Plant/Office Address:... Pin Code..... Tel. No.:. Fax No.:... Off Day: Website: Name of CMD / MD / CEO / COO: Contact Person Name: Contact No: Sector: Central Government State Government Central / State PSU Co-operative Society / Local Self Government Private 5. Principal Field of activity: Brief description of Product / Services: Present Manpower Strength: Supervisory / Managerial Staff Strength (Sum of A+B+C+D+E):. Table A Sr. No Engineering / Technology A B C D No. of Persons No. of Diploma in Working at par with Graduate in Employee in the in No. of Graduates in Employee in the No. of Persons Working at par with Diploma in in Sr. No Vocational Table B E No. of Employee in the area of work relevant to the 9 Page 1 of 5

2 9. Infrastructure for Imparting Training: a) Do you have Separate Training Department / Section :. (Yes / No) b) Do you have exclusive workshop facilities for Training :. (Yes / No) c) Do you have lecture halls / rooms for conducting group discussions and meetings :. (Yes / No) d) Do you have technical library under the control of the training department :. (Yes / No) e) Do you have hostel facilities for trainees :. (Yes / No) f) Do you have canteen facilities for trainees :. (Yes / No) g) Do you have transport facilities for trainees :. (Yes / No) h) Do you involve your trainees in normal production activities of Establishment :. (Yes / No) i) Do you have management training scheme :. (Yes / No) j) Do you have overall personality development program for trainees :. (Yes / No) Note: 1. This Assessment Form shall be signed by senior most personnel of the Establishment. 2. Visit for complete list of s of Engineering & Technology and 10+2 Vocational courses. 3. NIL or NA shall be mentioned in case wherever it is nil or not applicable in Table A and Table B. The information asked from Sl. No. 1 to 9 shall not be left blank. 4. Any other information not covered in this form may be provided in separate sheet. 5. For any quarry you may mail us at [email protected] or fax at , 52 or talk to us on , If you wish to furnish the man power details in Table A and Table B on Centralized (for units located at Chandigarh, Delhi, Haryana, Himachal Pradesh, Jammu & Kashmir, Punjab, Rajasthan, Uttarakhand, and Uttar Pradesh) / Pan - India Basis then you are required to mention the contact details of all such units for which you wish to have Centralized / Pan - India Assessment in the covering letter. 7. The Apprentices Act, 1961 (as amended in 1973 and 1986) is applicable to all establishments which falls under the purview of Section 1(4) (a) of the said Act Seal of Establishment Signature of Employer:.. Date: Place:.. Name:. Designation: CHECK LIST Company Profile on company cover letter Assessment Form is filled in format prescribed by BOAT (NR), Kanpur All entries shall be correctly & duly filled up legibly Authenticated copy of Certificate of Incorporation / Registration Certificate and copy of MoA is enclosed Assessment Form is signed by senior most official of the Establishment Authenticated copy of Address Proof of establishment is enclosed Page 2 of 5

3 DESIGNATED SUBJECT FIELDS IN ENGINEERING & TECHNOLOGY COVERED UNDER THE APPRENTICES ACT 1. Aeronautical Engg 64. Jute Technology 2. Agricultural Engg 65. Knitting Technology 3. Air Craft Maintenance Engg 66. Leather Good And Footwear Manufacturing 4. Applied Geology 67. Leather Technology 5. Applied Geophysics 68. Library Science 6. Architectural Assistantship 69. Machine Tool And Maintenance 7. Architecture 70. Machine Tools Technology 8. Automobile Engg 71. Man-made Fibre Technology 9. Avionics 72. Manufactruing Engineering 10. Beauty Culture And Cosmetology 73. Marine Engineering 11. Bio Chemical Engg 74. Materials Management 12. Bio-gas Technology 75. Mechanical Engineering 13. Bio Medical Engg 76. Mechatronics 14. Bio-medical Instrumentation Engineering 77. Medical Electronics 15. Bio-Technology 78. Medical Laboratory Technology> 16. Computer Aided Design / Computer Aided Manufacturing / ROBOTICS Application. 79. Metallurgy 17. Catering Technology 80. Mineral Engineering 18. Cement Technology 81. Mining 19. Ceramic Technology 82. Mining Machinery Engineering 20. Chemical Engg. 83. Modern Office Practice Management 21. Cinematography 84. Nautical Engineering 22. Civil Engg 85. Naval Architecture 23. Computer Hardware Maintenance 86. Nuclear Engineering 24. Computer Engg. 87. Oil And Soap Technology 25. Computer Science / Computer Application 88. Paper Technology 26. Computer Science and Engineering 89. Packaging Technology 27. Construction Technology /Engg. 90. Petro-Chemical Engineering/Technology 28. Costume Designs & Dress Making / Garment Technology > 91. Petroleum Engineering 29. Dairy Engg./Technology 92. Petroleum technology 30. Drilling Engg. 93. Pharmaceuticals 31. Dyestuff Technology 94. Pigment And Paint Technology 32. Electrical and Electronics Engg. 95. Plant Engineering/Technology 33. Electrical Engg 96. Plastic Engineering 34. Electronics And Bio-Medical Engineering 97. Plastic Technology 35. Electronics And Commumication Engineering 98. Polymer Technology 36. Electronic And Telecommunication 99. Printing Technology 37. Electronics Engineering 100. Production Engineering 38. Electronics And Instrumentation Engineering 101. Production Engineering And Industrial Management 39. Energy Engineering 102. Public Helth Engineering 40. Environment Pollution And Control Engineering 103. Radio And Electronic Engineering 41. Fabrication Technology 104. Refrigeration And Air-conditioning 42. Fashion Technology 105. Regional And Town Planning 43. Fine Art / Sculpture/ Commercial Art 106. Rubber Technology 44. Fisheries And Navigation 107. Safety Engineering Page 3 of 5

4 45. Food Process Engineering 108. Secretarial /commercial practice 46. Food Technology 109. Shipbuilding Technology 47. Footwear Technology 110. Silicate Technology 48. Foundry Technology 111. Sound Engineering 49. Garment And Fashion Techology 112. Structural Engineering 50. Geo Informatics 113. Sugar Technology 51. Glass Technology 114. Television Engineering 52. Ground Water Engineering 115. Textile Chemistry 53. Handloom Technology 116. Textile Designing 54. Herbal Technology 117. Textile Engineering 55. Highway Engineering 118. Textile Technology 56. Hotel Management and Catering technology 119. Tool Engineering 57. Industrial Electronics 120. Tool and Die Technology 58. Industrail Electronics and Instrumentation 121. Transportation Engineering 59. Industrial Engineering 122. Travel And Tourism Management 60. Information Technology 123. Water Management 61. Instrumentation And Control Engineering 124. Water Resource Engineering 62. Instrumentation Technolohy 125. Wood / Timber Technology 63. Interior Decorator DESIGNATED SUBJECT FIELDS IN VOCATIONAL (10+2) LEVEL COVERED UNDER THE APPRENTICES ACT 1. Accountancy and Auditing 64. Indian Music (Hindustani Vocal Music) 2. Accountancy And Taxation 65. Industrial Management 3. Agricultural Chemicals 66. Information Technology 4. Agro Based Food Industries (Animal Based) 67. Inland Fisheries 5. Agro Based Food Industries (Crop Based) 68. Institutional House Keeping 6. Agro Based Food Industries(Feed Industries) 69. Instrumental Music (Percussion Table) 7. Air Conditioners And Refrigerations Mechanics 70. Insurance 8. Apiculture 71. Interior Design 9. Audio Visual Technician 72. Knitting Technology 10. Automobile Engineering Technology 73. Library And Information Science 11. Automobile Engineering Technician 74. Live Stock Management (Poultry Husbandry) 12. Automobile Mechanic 75. Maint. And Servicing Of Textile Machinery 13. Auxillary Nurse and Mid Wives 76. Marketing And Salesmanship 14. Banking 77. Material Management Technology 15. Basic Financial Services 78. Mechanical Servicing 16. Bharatnatyam 79. Medicinal And Aromatic Plant Industry 17. Bio Medical Equipment and Technician 80. Med. Lab. Technician / Assistant 18. Bleaching, Dyeing and Fabric Painting 81. Mining Geology 19. Building Maintenance. 82. M.R.E.D.A. 20. Building and Road Construction 83. Multi Purpose Health Worker 21. Business Math Statistics 84. Multi Rehabilitation Worker 22. Catering And Restaurant Management 85. Mushroom Culture 23. Ceramic Technology 86. Nursing 24. Child Care And Nutrition 87. Nursery Management and Ornamental Gardening Page 4 of 5

5 25. Civil Construction 88. Nutrition and Dietetics 26. Classical Dance (Kathak) 89. Office Assistantship 27. Clothing for the family 90. Office Management 28. Commercial Art 91. Office Secretaryship with Accountancy 29. Commercial Garment Designing 92. Office Secretaryship/ Stenography 30. Computer Assembly And Maintence 93. Ophthalmic Technician 31. Computer Graphics Animation 94. Pharmacist 32. Computer Technique 95. Photography 33. Computer Science 96. Physical Education 34. Construction Technology, water Supply And Sanitary Engineering 97. Phyisiotherapy And Occupational Therapy 35. Consumer And Indus, Electronics Mechanics 98. Plantation Crop And Management 36. Cooperation 99. Plant Protection 37. Cotton Classifier 100. Post Harvest Technology 38. Crop Science / Cultivation / Production 101. Poultry Farming 39. Co-operative Management 102. Pre-School And Creche Management 40. Dairying 103. Preservation And Processing Of Fruits And Vegetables 41. Dental Hygienist 104. Primary Health Worker 42. Dental Technican 105. Printing And Book Keeping 43. Domestic Elctronic And Project Equipment 106. Purchasing And Store Keeping 44. Dress Designing And Making 107. Printing Technology 45. Ecg And Audiometric Tecnician 108. Radio And Television Engineering 46. Electrical Motor Rewinding 109. Radio And TV Maintenance And Repirs 47. Electronics Engineering Technician 110. Receptionist 48. Electronic Technology 111. Repair And Maintenance Of Power Driven 49. Export Import Practice And Documentation 112. Rubber Technology 50. Fisheries / Fish Processing 113. Rural Engineering Technology 51. Fishing Technology 114. Seed Production Technology 52. Fish Seed Production 115. Sericulture 53. Floriculture 116. Sheep And Goat Husbandry 54. Food Preservation 117. Soil Conservation 55. Food Preservation And Processing 118. Structure and Fabrication Techno 56. Fruit and Vegetables 119. Sugar Technology 57. General Machinist 120. Surveying 58. Health Care And Beauty Culture 121. Swine Production 59. Helath Sanitary Inspector 122. Tanneries 60. Health Worker 123. Taxation Practices 61. Horticulture 124. Textile Design 62. Hospital Documentation 125. Tourism And Travel Technology 63. Hospital House Keeping 126. Vegetable Seed Production 127. Veterinary Pharmacist Cum Artificial Insemination Assis 128. X-Ray Technician Page 5 of 5

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