Registration Form

COURSE

BOARD/UNIVERSITY

SCHOOL/COLLEGE NAME

PASSING YEAR

ROLL _NUMBER_

MARKSHEET SERIAL NO.

TOTAL MARKS

OBTAINED MARKS

PERCENT

HIGHSCHOOL

INTERMEDIATE

I certify that all the entries filled in the online registration are based on the records available with me and are correct and true to my knowledge. My photograph uploaded in the registration is clear, distinct and as per instructions. All the conditions given in the advertisement are acceptable to me. If any particulars mentioned in the online application form are found to be incorrect/false after verification at any stage before or after the selection, the responsibility will be mine and the concerned authority will have the right to cancel my candidature and take legal action against me. On the date of applying, all the mark sheets/certificates mentioned in the application form/certificate related to reservation and special reservation are available with me. My online application will be considered for training on depositing the prescribed fee by the due date. I have compared my photograph and the details filled by me (displayed below) with the original records and found correct.

REGISTRATION FORM

Applied Course

Select Applied Course*

Student's Details

First Name*

Middle Name

Last Name

Date of Birth*

Email ID*

Mobile Number*

Gender*

Father's Details

Full Name*

Occupation*

Mother's Details

Full Name*

Personal Details

Caste*

Caste Certificate No.

Nationality*

Religion*

Blood Group

Aadhaar No.*

Other Identity Proof

Identity No.

Correspondence Details

Local Address*

Local Address District*

Local Address Pincode*

Local Address State/Union Territory*

Permanent Address*

Permanent Address District*

Permanent Address Pincode*

Permanent Address State/Union Territory*

Alternate Mobile No.

Upload Your Photo (image size should be less than 1 mb)*

Qualification Details*

Educational Qualification*

Self Declaration*