Online Application

 		 Application for the post course of :
(TO BE FILLED IN CAPITAL LETTERS ONLY )

1. Full Name :
(As per School Leaving Certificate

2. Father's name :

3. Father's Occupation :

4. Postal Address :

   Pin Code :

5. Contact Ph. No. with STD Code :

   Mobile :

  E-mail id:
6.. Date of Birth :
7.
Sex : Male Female
 
Marital Status : Married Unmarried
  (Tick for the Sex & Marital Status)
8. Education Qualification :
 
Exam Passed Board/University Year of Passing Subject Total %age %age of PCM
10th
10+2
Graduation
Diploma/Any

DECLARATION :

I hereby declare that all the information as given above are correct to the best of my knowledge and belief. I understand and will follow all the decision of the institution with regard of conduct good discipline and best training. I further declare that in the event of any information being false or incorrect. My Candidature/Course is liable to be rejected/ terminated without notice.
Place :
Date :
 

 

 
 

 
 

 

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