APPLICATION FORM

Name of the candidate(in BLOCK letters) as per school certificate.
* Your Name:
* Date of Birth:
Age:
* Gender:
* Adhaar No:
* Mobile No:
* Email:
* Name Of Parent/Guardian:
 Occupation Of Parent/Guardian:
 Tel./MobileNo.of Parent/Guardian:
ADDRESS
*  House Name / no :
* Post Office:
* Village:
* District:
* State:
* Pin:
EDUCATIONAL QUALIFICATION
SSC(10th)
* Name of Institution:
* Marks(%):
* Year of Passing:
HSC(12th)
 Name of Institution:
 Marks(%):
 Year of Passing:
ITI(TRADE)
* Name of Institution:
* Trade:
 Marks(%):
 Year of Passing:

* Religion:
* Category:
* Course Preference:
 Industrial Welding
 Industrial Fitter
 Industrial Electrician
 Process Instrumentation

*Examination Centre:

UPLOAD FILES (Maximum file size is 200KB) (Click here to reduce your file size if it is greater than 200KB and then upload.)
* Photo - Your recent passport size photo
* SSLC - Proof of age

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