Note : * marks field are mandatory.
Applicant Full Name: *
 
Father Full Name: *
 
Mother Name: *
 
Occupation of Father: *
 
Date Of Birth: *
         
Gender: *
 
Religion: *
 
Cast Category: *
 
Guardian's Name:
Aadhar No:
Permanent Address: *
 
Correspondence Address: *   Same as permanent address
 
Candidate Mobile No:*
 
Father Mobile No:*
 
Email ID: *
   
Mother Tongue: *
 
Academic history of candidate
Class Institute Name Passing Year Total Max Marks Marks Obtained Percentage (%)
8th
10th
12th
Upload Documents :-
S.NoDocument NameUpload Document (Max Size : 200KB; Format : .pdf, .jpg)
1 Candidate Photo
2 Candidate Signature
3 Admit Card Of Madhyamik Exam
4 Addhar Card
5 Marks sheet of Madhyamik Exam
6 Marks sheet of H.S. Exam
7 Medical Fitness Certificate
  Is Admission before in Govt/Private ITI?
Institute Name:
Business Name:
Admission Year: