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CtoD Student Information Form SEM-3 (October-2020)
Dear Students,
This form is for Certificate (ITI) holder to Diploma admitted student.
Please fill up this form with all the necessary information.
* Indicates required question
Student Name: (As per ITI Trade Marksheet)
*
Your answer
Student Mobile Number:
*
Your answer
Enter Father / Mother Mobile Number:
*
Your answer
Enter Email ID of Student: (Preferably Gmail)
*
Your answer
Branch of Admission in Diploma Engineering:
*
Choose
Mechanical Engineering
Electrical Engineering
Civil Engineering
Automobile Engineering
Information Technology
Power Electronics
Metallurgy
Textile Processing Technology
Textile Manufacturing Technology
Gender:
*
Female
Male
Other
CtoD Merit Rank : (Merit No. given by ACPDC)
*
Your answer
ITI Trade that you have passed from:
*
Your answer
Category of Admission:
*
Choose
General
SEBC
ST
SC
Other
Std.10 Seat Number (in SSC Marksheet): (For example, B2010223)
*
Your answer
Std.10 Passing year: (If more than one trial then write latest year of passing)
*
Your answer
Religion:
*
Choose
Hindu
Muslim
Christian
Jain
Shikh
Buddhism
Other
Permanent Address :
*
Your answer
District:
*
Your answer
PINCODE
*
Your answer
Submit
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