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AIMAs ASSESSMENT & CERTIFICATION OF SKILLS &

COMPETENCIES

AIMA CERTIFICATION AS CERTIFIED TRAINER


(ACT)
APPLICATION FORM
NAME (MR/MRS/MS/DR/PROF)
DATE OF BIRTH
D D

M M

Y Y Y Y

ADDRESS FOR CORRESPONDENCE

City

Pin

CONTACT DETAILS
Mobile No.
Alternate Telephone
No.
Email

EXPERIEN
CE

As a Trainer
In service not related to

(NO. OF
YEARS)

Training

AIMAs ASSESSMENT & CERTIFICATION OF SKILLS &


COMPETENCIES

AIMA CERTIFICATION AS CERTIFIED TRAINER


(ACT)
APPLICATION FORM
ACADEMIC ACHIEVEMENTS
Qualification

Degree /
Diploma

University /
Institute

Year of
Passing

Graduation
PostGraduation
Any Other
Accreditation
/ Certification
as
Teacher/Train
er

DETAILS OF TRAINING DELIVERED


Organization
/ Client

Title of the
Training
Program

Duration of
the Module
delivered

Date of
delivery

AIMAs ASSESSMENT & CERTIFICATION OF SKILLS &


COMPETENCIES

AIMA CERTIFICATION AS CERTIFIED TRAINER


(ACT)
APPLICATION FORM

AREAS OF EXPERTISE AS TRAINER


You may specify
Specific
Domains/
Sectors/
Functions /Areas,
based on their
expertise in the
subject

Sector

Function / Area/
Skill

LIST OF ENCLOSURES
__________________________________________
STAMP SIZE PHOTO
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________

STAMP SIZE PHOTO

AIMAs ASSESSMENT & CERTIFICATION OF SKILLS &


COMPETENCIES

AIMA CERTIFICATION AS CERTIFIED TRAINER


(ACT)
APPLICATION FORM
____________________________________________________________
_____________________

Please note that this Format need to reach us as soft copy on


saumya@aima.in and printout of the same along with Photographs and
Supporting Documents must reach AIMA.
For details contact:
Ms Saumya Singh
Assistant Director
Email: saumya@aima.in
Centre for Skill Development & Training I All India Management Association I Management
House I 14 Institutional Area I Lodi Road I New Delhi-110 003 I Ph.No.011- 24608531
(D) 24645100 I 43128100 I Ext. 724
Fax No.011-24626689/24643035 Website: www.aima.in

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