Residential Training Programme on

PACKAGING TECHNOLOGY

26th – 30th May, 2014

Particulars of Person Recommended for Participation

Name of the Organisation making recommendation : ________________________________________

Name of Participant : ______________________________________________________________

Address (Office) : ______________________________________________________________

Tel./Fax : _____________________________________________________________

E-mail : ______________________________________________________________

Permanent Home Address : ______________________________________________________________

a) Age / Date of Birth : ______________________________________________________________

b) Place of Birth : ______________________________________________________________

c) Sex : ______________________________________________________________

Educational Qualifications : ______________________________________________________________

Practical Training : ______________________________________________________________

Employment Experience : ______________________________________________________________

Present Job Duties

(Limit to 3 major duties) : ______________________________________________________________

Title of Present Position : ______________________________________________________________

Special Skill : ______________________________________________________________

Publication : ______________________________________________________________

Any other Relevant : ______________________________________________________________

Information ______________________________________________________________

Signature of Applicant

CERTIFICATE FROM EMPLOYER

Date : _________________

We have gone through the terms and conditions of the APF Programme and shall abide by these in

case nominee is finally selected for the Programme.

Signature of the Sponsoring Authority