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Application for course candidature to ASAP CSP, Chathanur
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Email
*
Your email
State
*
Your answer
Name of District
*
Your answer
Course Applied
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Assistant Beauty Therapist
Customer Relations Management.
Basic Information
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Salutation
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Mr
Ms
Mrs
Candidate Name
*
Your answer
Gender
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Male
Female
Type of Institution
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HSS
VHSS
ITI
Any Graduate
Above seventh standard
Aadhar
ID
*
Your answer
Mother Tongue
*
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Location Details of Candidate
Please specify the requested details as per govt ID
Name of Taluk
*
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Name of Constituency
*
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Name of Village
*
Your answer
Name of Local Self Government (LSG)(Panchayath / Muncipality /Corporation)
Your answer
Personal Details of the Student
Please specify the requested details as per govt ID
Date of Birth (As in SSLC Certificate)
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Land Phone Number (if any)
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Nationality
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INDIAN
Blood Group
*
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Marital Status
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Married
Unmarried
NA
Identification Mark (as in SSLC Certificate)
*
Your answer
Communication Address with Pincode
*
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Permanent Address with Pincode
*
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Parent Details
Name of Father
*
Your answer
Name of Mother
*
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Guardian
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Father
Mother
Other
If Other, please specify the name and their relationship with the candidate
Your answer
If other, please specify
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Nationality of Parent/ Guardian
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INDIAN
Mobile Number of parent
*
Mobile Number of the Parent is mandatory since it is used for sending SMS to the candidate
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Office Address of parent With Pincode
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