• Full Name *

• Aadhar Number of Applicant *

• 10th Roll No. *

• Religion

• Nationality *

• Gender *

  —Please choose an option—MaleFemale

• Date of Birth *

• Mother’s Name *

• Father’s Name *

• Occupation of Father/Guardian

• Guardian’s Name (other than Father)

• Permanent Address *

• Present Address *

• Student Mobile Number *

• Guardian Mobile Number *

• E-mail Id *

• Reservation Category (if any)

  —Please choose an option—SCSTOBCUR

• Require Hostel Accommodation?

  YesNo

• Trade for Admission *

  FITTERELECTRICIANELECTRONICS-MECHANIC

Educational Qualifications

• Passport Size Photograph *

• Scanned Applicant Signature *

• Scanned Parent/Guardian Signature *

• Scanned Matric Certificate *

• Scanned Addhar Card *

• Scanned Cast Certificate (If Any)

• Security Captcha *

  
  Please Enter the text as it appear in the image

I hereby declare that the information furnished in this application is true to my knowledge and I shall be liable for discharge from training if at any time the information provided by me is found to be wrong or misleading.