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:durgapur.nptier@gmail.com, 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:durgapur.nptier@gmail.com, 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/-