Name*

Age & Date Of Birth*

Sex*

MaleFemale

Name of Father/Guardian*

Name of Mother*

Address to which communication are to be sent with PIN code*

Religion and Caste*

Does the applicant belong to a Scheduled Caste/Scheduled Tribe/Backward Community*

SCSTOECOBC

Applicant’s Phone No*

Email Id*

Place of residence during the training period*

HomeHostelOther Place

Percentage of Marks of B.A. / B.Sc.*