TPSDI – Empanelment Request Form 1. Name : 2. Last Designation in Tata Power 3. Last Location of Posting 4. Length of Service 5. Professional Qualification 6. Area if Expertise 1. 2. 3. 4. 1. 2. 3. 7. Any Special Training & Certification done 8. Discipline, Trade and Skills in which you can help 9. Level of Trainees / Training you would be comfortable with 1. 2. 3. 4. Workman Level { Blue Collar Workforce – ITI & below } Supervisory / Technician Trainees – Fresh Dip Engineers Executives / Engineers – Fresh Engineering Graduates Any other : 10. Areas of Interest and expertise in which you would like to volunteer for TPSDI { Tick the most comfortable item(s) } 1. Evolving Training Syllabus and Curriculum 2. Developing Training Content for hands on training based on Syllabus & Curriculum 3. Imparting Training – being a Trainer / Faculty 4. Imparting Practical Training 5. Developing Tests – Objective type Tests 6. Developing Practical Tests 7. Administering and Assessment of Tests 8. Conducting Practical Assessment Tests 9. Mentor or Guide 10. Lead a Self Help Group 11. Any Other : a) 11 a) No of Hours you can contribute per Week 11 b) No of Times per Week 11 c) Preferred Timing : More than 30 Hours Between 20 -30 Hours Between 10-20 Hours 4 times 3 Times 2 Full Day 12. Convenient TPSDI Training Locations : Shahad Kalyan Maha Fore Noon starting from 8 AM Trombay Mumbai Maha Times After Noon Starting from 2 PM CGPL Mundra Gujarat Less than 10 Hours I Can only Work from Home 1 Time Evening 5 PM to 8 PM MPL Maithon Jharkhand 13. Signature : 14. Date 15. Email Address: 16. Mobile Full days on Sat & Sunday TPSDI -Hqr. Parel (only for training content related)