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Online Application Form

* Denoted Fields Are Mandatory
1 Application for admission in the trade *
2 Name of the Institute where admission required *
3 Name (in block letters) Miss/Mr/Mrs *
4 Upload your photo
5 Father’s Name *
6 Mother’s Name *
7 Husband’s Name
8 Mailing Address *
9 Permanent Address with Pin Code *
10 Telephone No. with Code
11 Mobile No *
12 Qualification (Academic / Technical)
Examination Passed Name of Board / University Year of Passing
(YYYY)
Total Marks Marks obtained Division & % of
marks in aggregate
13 Date of Birth ( in Christian Era) * Pick a date (DD-MM-YYYY)
14 Marital Status (Whether single or married ) *
15 Nationality *
16 Mother Tongue *
17 Whether SC/ST/OBC/Physical handicapped .
(Enclose attested copy of certificate as a proof. SC/ST candidates should submit caste certificate from competent
authority and OBC should submit non-creamy layer certificate for OBC).
  Signature of Parent / Guardian / Husband Full Signature of the Applicant
  Note: Incomplete Application will be rejected and also if not accompanied with the attested copies of the relevant
testimonials/certificates/marksheets.
  ............................................................................Cut Here (at the time of submission of application........................................................................
  SI.No.......................... Regd. No...........................
ACKNOWLEDGEMENT
(Name & Trade to be filled by candidate)
  Received Application Form from Miss/Mrs/Mr.
for the trade of
  I. Applications complete in all respects may be submitted personally or sent by post to the Institute for admission on or before 5 P.M. of 6th July, 2013.
II. The trade of your choice shall be given according to availability of seats in the particular trade.
III. Selected candidates should come with fee/charges & Original Certificates with two sets of xerox copy and 5 nos. of stamp size & 2 nos. of passport size photo.
IV. Allotment of seats in the hostel will be decided on the day of admission / after admission.
V. Admission shall be closed by 30th August, 2013 but may close early if seats are filled-up.
  Date.......................... Principal...........................
 
   
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