Online Application Form

* Denoted Fields Are Mandatory

Application for admission in the trade *

Name of the Institute where admission required *

Name (in block letters) Miss/Mr/Mrs *

Upload your photo

Father’s Name *

Mother’s Name *

Husband’s Name

Mailing Address *

Permanent Address with Pin Code *

Telephone No. with Code

Mobile No *

Qualification (Academic / Technical)

Examination Passed	Name of Board / University	Year of Passing (YYYY)	Total Marks	Marks obtained	Division & % of marks in aggregate

Date of Birth ( in Christian Era) *

(DD-MM-YYYY)

Marital Status (Whether single or married ) *

Nationality *

Mother Tongue *

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...........................