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Note : * marks field are mandatory.
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Applicant Full Name:
*
*
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Father Full Name: *
*
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Mother Name:
*
*
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Occupation of Father:
*
*
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Date Of Birth: *
*
*
*
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Gender: *
*
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Religion: *
*
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Cast Category: *
*
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Guardian's Name:
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Aadhar No:
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Permanent Address: *
*
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Correspondence Address: *
Same as permanent address
*
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Candidate Mobile No:*
*
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Father Mobile No:*
*
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Email ID: *
*
Invalid Email Format
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Mother Tongue: *
*
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Trade: *
*
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Jan-Aadhaar No.:
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Reference Name(if any) :
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Is Admission before in Govt/Private ITI?
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