PERFORMANCE EVALUA TION OF APPREN TICE
Year 20 16-20 17
(To be submitted to Board al ongwith the Em ployment Inform ation Profo rma of each app ·::;-, t1ce 1
PART A: GENERAL INFORMATION
1. Category of Ap prentice
(Graduate / Technician I Technician (Vocational):
erfZAOVATP,
2. Apprenti ce details
(i) Name of the Apprentice
A,BHLSHe K tJIS(frM
(ii) Registration Number of contra ct of
Apprenticeship I 6 - 01 Y Io 2- 3 - /
(iii) Period of training From 25 /09/ f 6ro 2 9 / 03 f / 1-
3. Establishment details
(i) Name of the Training Establishment
(ii) Establishment User ID
4 . Industry Sector
(Central f State Govt! PSU i Private) J4Ll_ T(< A N l ef,
5.. Role I Profile during training ~NJ ATe
PART B: ASS ESS MENT: {Points to be awarded on 1 to 10 scale]
10
V ery Pcor Elelo,; A-..eraQe Abc,y e Mcderately Good C;)ti.!:S-"'ld<r,g
Poor ,.;...,erago Ave::age Good
~ - - - ~- - - - - . - - - - , - - - - - , - - -- , - - - - ~ - - ·- - ----.;(i r-~-e- - - -
Set At the [ At the At the ; At the
Standard Entry level end cf ' end of _ - c,f.
Er;rl i e.".·"·· or.· con1plet1
.. , on
1" •,_· 2no. .,__ ,,...• '•. tr. ur tne
Sr. No . Skill Set assessment ,
4
training
on scale quarter j q~arter c~ arter ! quaner . per,oc
of 1 to 10
1 - - - --...L .- -- - ' - , - - - --:._--~-;:::--:-----::;--;--- ~
( Date: 1. i2~te_. . Date . . D;Jt!=__: ___l Date . . (?_at_e
).__ _ __J__G_~-N=
E=R.. ,.A.,. .L.,_A=
., TT
=R"'IB
=:U
-::T::-:t:.:-::S:--- - ~
I i C.
-----
Communication Skill
Leadership Skill (Team
I J__ i 3_____ 9 I J ..... 2
I ~ ,.,
Work / Cooperation)
ef I
9 3 ~
'
i
Multi Tasking Skill
'/
(Flexibility) g ~ 4 1P -3 j
Time Management Skill
i
I
(Punctuality &
~ G <=j I0 lo
timeliness) !
: : 3
1
Discipline & Conduct /1>
I
'
I
/D I0 10 lo rn····---------·-·-
; Attitude IP I
I ID · )O I
,_~_ (o ... •·••
l'?__
----···-··- , ------- . ·-
i Safety Consciousness D
I
2 I TECHNICAL /TRADE SKILL ' 0
Technical/Job related l
:
I
/ D ) D
' .....
I
-- --.--
lo
......._, _______
\ -0
......... ,
,,
___ ____ __ _
__
knowledge (theoreticall i
g ; 2 !
'0 lo _:)
'
I
conceptual) I
i
I I !
_____ .,_
•--••••-••H•-m
-------
Job Skills(T echnical -- ---
skills/speciali sation)
a)
3 5 j j s
b)
C) I
I
j
Analytical & problem ---·
solving skills g I 'i Cj I j Io - 3 -
Innovation & Creativity
\3 i Performance
7 I
~ j _j I lo _LQ_
Quality and accuracy of
work lo ID 10 I
l o f /o t-----·
D
- •- .
Productivity
I j _g j ~
l
{o i J __
Overall Assessment of Apprentice:
Quarter Shortcomin s Develo ment needs
1' Quarter
2 Quarter
C~_0-l·&oev/, ~ -
/.J-lr()PJ
3 Quarter
4 Quarter
At the completion of
the trainin eriod
. Si nature with Date
Name & Designation At the
of the Training st
1 Quarter
r,d
2 Qu arter I' 3---- Quarter i 4" Quarter
Officer (s)
Evaluation b.y Training 01'ficer ~ k ! 1/,
1
__J_~::i...w~~Ld4,...L.--J..~~rJ-r-JL · , I ~ <l ~ OJ l ~ ?51
----,,",---,I-___L~---{/-
/v7"HIVl:--'
11,, i""
, ,J-+--r=-:-:----,-;r/--rl- -~Ofv:Li~ I Y\ 0\ <f,WA(',Ai y i / ' Q _ ~ ~
Signature of Apprentice_ Wv~dc.
J-" ~
.
Date:- Name of the Apprentice __ftB H {S, HP K .N I(j- A-t'-1
Remarks :
..
FORM A PP-6
R r coRn O F PROG R ESS OF APPRF,NTI CES
l ro he su bm itted t1nc<." n Qu:1rtcr in respect of Gradu ate ffec hni cian ffechnic ian
l \ OC3 Li 0 na l) app re ntice alongw ith the claim fo r reimbursement. )
'-\.ime . \ BH IS B E K Nl G AM .: _ _ _. . .:1:. . :6...-=3~1--=-4~
Registrati on No:;.;_ 1"""02::.--=3'--.:...l
Subj c..--=t fiel,j in Engineering or Tcchnolog, VOCTttional :l\tEC HAN I CAL ENG I NEERl:'ol'G (CRA DllATE )
( Please specit~ branch cour!-c of stud~)
l nd ...--r TrJ.ining at (Please specify Name J.nd pbce of the establishment) : GAI L (J nd iai Ljm itcd , Vij aipur.
Date ofcommcncerr "C'P o ftrainin 6 · SEPTE :>tIBER 3U. 2016
Area lDepanrnc nt S..."Cl,0n o:·Traii-1ing in 0.e ~-:ablishment) During the Q_a:1er: MECHAN ICAL (L Ii>..!!}
P~...ress Rep..,r for Q_,:,_~cr From JU LY 0 1. ~fil.L_to SEPTEMBER Z9. 201 7
!I
ii P erfomiance During the QcJmer: ____l 2 Y--1...C~,...:.~u..
( ~ • .1.\L
I :...
· _ _ _ _ _ __ _ __ _ - -- ---
iii} S:-io m:omings. ir· .-..n:,: _ _ _ ______!f\
._~....!1~l_.,___ _ _ _ _ _ _ _ __ __ __ __ __
i,·) Re2etion of Trainee to Correcfr,e Action at (ii:) .-\bm·e: _ _ i\,'. L'
~lLC::.._
_i_, _ _ _ _ _ _ _ _ _ _ __ __
v) .-\sscssment: Excellent. \'er\. good Good Unfit (Please reproduce clear!~·) .
- Jv·r1
Remarks _ _ ______ _ __ _ __ _
Signature of Apprentice
Name and Signature 0~ Manager ( HR) with Establishment Seal
f?Of< IV( ,~P l'-o
IH:<. 'OH l> OJ• PROGRW,S 0 1<' APPHJ•:t'n tCES
(To be s ubm th vJ ~m cc n·Quartc;r in rc!>pe~t of' Grc:dua1.<• rr,_::,.;;~ic i~n /( cdm ician
(Voc:.1t 1,) 11al ) apprent ice along with the ch1i m fp! ~:.i mbu r!icmenq
' #. •
fs!a mc _IJBlLLS) J_f'__f~· _N...Lc;,,1.vv1 .·~ ~~lris~;.~lr'n.i-1<~-·: i 6 :-~31 '-1 W 2 .. -~/ - I
.' :l,j,' ,:t fidd in t·nginl".:rin~ 01 Tecl1 nolor,.}'No,c~.tirnmi ·'· ' · _
·\!'k,isc
, l~lEC l,'. B rv' LCf J._l --~-ci.s-p:X.cfli~.13--T f'-/( f-
!>p<:c1fyJ,r.:1hcH'/ c ~ur~c i:·{ .,tucJy) ·
' .
u,~dcr Traini ng 'at·(!' ICO,,; ~-J>.!<:i !•1 Na,\,!! .tml ;•la~e 'J' 1.hc •'-.S' or-li~hme11t,: C A:1L {lltl~fa~ ~ miitw .. Vai .!YI!!!!'.:
D..:le_o r comnwn,.:c n~ 1 of trai,1•,1_:: .l.jQ__ - ~ 5__-:-___i;.i_() [ (;
· ·· · · · .... 7 - ,.. 7.
Arca ( p cpart1r.,,;r, i fie.c ti, m cfT1.;;.i,,i ,1g in ~he, _,;1abli~l,ir.•.~1t)" :)uri ng '!he ._tu.r;·,,er:_'-:"_.=..· ·---~---
f(1. r'JYvt J-...4,
· ---· - - -.1
f'L,:: "l
. ; :-i . . 1·,·,c ,·,,., ir ••"Ir.>. ,..,Q'~i/?;
,·,: ~,m~{.( _-:._ ~~- _'.:-~!_:'_To --~~ l,,iL::-.-~-~--,{ ·-q.;~-~-~- -- -··
'<'7
:'t'op ~ss· J$ejiorl for (?·ccartcr .
1) , ·p~:tud ~..for 1'i·G;,,ing; . . . .· .. - (~·r-cJJ,,;,t-· __ · --·. ·_ ·....
ii;. Pcr!o1mance- D,. r: ng th~ <{ll'!yr: _: __ _ r_:'.l~:Z..J
1
.. _//Xo:..,-:lf,·---:. ______________
ii i) Shortcomings, if Any: __ _ ·-·' "· ____. ..d-J.L_________________
____
tvJ_R~~~t.ion of T:·aine~ ~ Ni/f
.e,·, ive Ac:ti,,n at (iii) Abov?-;_~ _ _ _:....__ _ __~- - -
. ' \... . / . .
v ) Assessn1q1 l: Exr,e ilcnl/ V,:ry ~0011 Good I Unfit {Please reproduce cle arly)
R .::rn ;:irks _ _ __ _ _____ _ _ __
\ .
(.-) ~y~ I~
/
~~
Signature of A pp, ?.nlicc
N am e an d Signature of Mam,ge, (HR) with Eswblishrrw nl Seal
.,._ _ _ 11..u p urJ1 (• , nwno JG(/ IIN/l#ttn /
1
r,•-,4 I
F ORM APP--6
RECORD OF PROGRESS OF APPRENTICES
(To be submitted once a Quarter in respect of G raduale ffechnic ian /fec hnicia n
(Vocat io nai) appre ntice alon g with the claim for reim bursem ent.)
N:m1c __BJ] ~11 SH~ K N / §r11 [1 R~gi strn lion No._l_G__:-- _'3 I lj__ J<J 2 ~ 3 - )
Sub_icci fie ld in Engi neeri ng or Tedrn o logy/V ocational
f'-:t e C P1 A-.DLLC..JJ I . . 5-r'I ~T- Ne € f<.. I
(l' le ase spccj(v branch / cours~ 0'. study'
N q-
Und~r Trai ning at (Please spe;;il~ N ame -: d p\a1.:e of th,~ es.t:·alishment): GAIL (lndi~t ) I :m itc-d. '· i jairwr.
Date of co mmence ment o f t-1ining : ~~ - C '1 - 2. (i [ {.; . l I •
·, .-, -C3 f?._e, CD \/ e. \'- ~f r ' l A..
Arc:'! ( Departme nt / Secti•Jn nfT raining in t'.ie estab! ish:-:,en!) During lOC Q u:lrte1 :_'-' "- '
Prugre :;s Report for Quarter From C i - i O - 2. ,:_, I CTo ':Z' ..!../_-_~·2
==-·--J.>=-.:O::.___,:J.___,6==-·_ __
i ) Aptit ude f._, r Train ing: _ _ _ _J.CA
;t:(at'.,.1.(,.t.r.L/L
~·~.:'.:l-f-:
o<..-_ __ __ __ __ _ _ _ __ __
ii J Performance Dur ing the Q uarter:
iii) Sho rtcomin gs, if A ny: _ _ ____ _ _
, l )
t._lr.!....!..,lv~JI_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _
iv) Reaction o f Trainee to Correct ive Action at (iii) Abo ve:_ _ _ _ _:_
N_:_A:._.(;J
:{....__ _ _ _ __ _ _ _ __
~ -
v ) Assessment: Excellent/ Very good/ Good / Unlit (Please ,·eproduce clearl y)
Remark~
- - -- -- - - - - - -
Signature of Ap prent?..:e
Na me and Sig nature o: Manager ( HR) with Establi shment Seal
\
FOR M APP~6
RECORD OF PROGRESS OF APPRENTICES
(To be submitted once a Quarter in respect of Graduate rrechnician rrechnician
(Vocational) apprentice alongwith the clai m for reimbursement.)
Name ABHISHEK NIG AM Registration No.: 16-314102-3-1
;.;__ _ _..:a..::=--=.-"'-'-=--=-=-=---=
Subject liel d in Engi neerin g or Techno!ogy/Vocationai :MECH ANlC AL .ENGINEERING {GRADUAT E )
(P lease specify branch / course or study)
Under Train in'.:!, at (Please specify Name and place of the establishme nt): GA IL (India) Limited., Vijaiyur.
Date ol commencement of training: J-iE~ TEMBER 30, 2(\ii. 6
Area (Dc::iartment / Secti on of Trai(,ing i_n the establi shment) Duri ng the Quarter: MECHAtl!lCA1, (C2C.3}
Progre-=,s Rr ~1ort fo r Quarte r From JANAURY 01, 201 7 _to JANAURY 31, 2017
i) Apt~tude for Train in g: '/ttrft.. ,.l
1
ii ) Performance During the Qu arter: - -~:_..::~-vf~_:__·'J.·~~/,.'.:.!,,,'d!:.':1J4.
..::. _ __ _ _ _ __ _ _ __ _ _ __
I
iii ) Shortcomi ngs, if Any : _ _ _ _ ____,_r'._l\!..:_
/ _,_1' - - - - - - - -- -- - -- - - - ' - - - - -
iv) Reacti on of Trainee to Corrective Action at (iii ) Above: _ __ . . .1A'. Y..i....;-/,0-f_:__ _ _ _ _ _ _ __ _ __
_,/
v) Assessment: Ex'cefient/ Very good/ Good / Unfit (P lease reproduce clearly)
Remarks _ _ _ _ _ _ _ _ __ _ __
Si gnature of Apprentice
FO RM APP-6
._ . JU:('()l{I) OF PROCJ{E~S <H APPR U \ 'T I ( L',
10
( he submitted 011cc a Quarter iri respect of Graduate rrechnician ffechnic ian
( Voca ti onal) apprent ice alongwith the cla im for reimbursement.)
Name ABll lSllEK NI GAM Registration l'.o.:- -- 16-314102-3-l
-..;;....;:.__;c_"--'-'--"-'CC........C--'-
Subj l.'. C( field_in Engineering or TcchnologyNocational :i\l CUI Ai'i lCA L ENG I NEE RI NG (GRAD U ATE )
( ( l'k:.1 ~c spec i fy l>ranch / course of study) ,
lln Jcr Tr,•i ning at (!'lease specify Name and place of the estdb'ishrr:cnlJ. C l" IL (India) U ..iited . Viiaipu r.
1
I atc of comm-:nccmcnt ot irain:ng: 5E PTEMBER: ~ '.' 016
Arca ( Dcpa ·trncnt / Sec~ion )f Trai ning in the establ ish'llerrtJ During the Quarter: Mr.CHANI C AL ( HVJ )
Progr\!SS Report for Quan.cr , rom APRIL 011 20 17 .., MAY 31, 2017
i) 1\ pt itudc for T raining:
, i ) Pe r for ma nc e D uring the Quarter : [ ';-:' c. c J!.f C.---k •
- - -~ - - -- - - - - -
iii) Shortco r.,i ngs, if A riy : i-,._J{ (
Rem arks _ _ _ _ _ __ _ _ _ _ _ _ _
.,--
.' . ./ _ '.I/
·-J_,:;., ....,,,,,-
(
\
~
,'',,,
,
Signatu re or /\ ppre nti 2e
Name and Si gna ture o f Manager ( 11R) w ith Establ ishm ent Seal
