JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Application Form for ESDM Courses
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Option 1
Name of Training Partner
*
Choose
INTELANTS CONSULTANTS
Option 2
COMPANY
Primier Energies Pvt ltd
Renewsys India Pvt Ltd
Micromax(Bhagavathi Products Pvt Ltd)
Contractor
SaiBabu
CMS
JG Contract
USM
NIJA MAN POWER SERVICES
Rvpl
Candidate's Full Name (As per Aadhar card)
*
Your answer
Father's Name (As per Aadhar card)
Your answer
Mother's Name (As per Aadhar card)
Your answer
Aadhar Card No:
*
Your answer
Gender
Choose
Female
Male
Prefer not to say
Marital status
Choose
MARRIED
UNMARRIED
Date of Birth (DD/MM/YYYY)
*
Your answer
Land Line Number
Your answer
Mobile Number
*
Your answer
Email ID
*
Your answer
CAST Category
*
Choose
SC
ST
EWS
General
Permanent Address
Your answer
City / Town
Your answer
District
*
Your answer
State
*
Your answer
Present Address
*
Your answer
Education Qualification
*
Choose
8th Class Passed
10th Passed
10+2 / Intermediate
ITI / Vocational Course
DIPLOMA
BE/B.Tech
University / College / School name
*
Your answer
Year of Passed
Your answer
Marks Percentage (%)
Your answer
Documents Required
*
Aadhar Card
Cast Certificate (SC/ST/BC)
Ration Card / Income Proof Certificate / EWS from MRO Office (For BC & OC)
Education Certificate
Photos (6)
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
