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Student Information Form
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* Indicates required question
Name
*
Your answer
Gender
*
Male
Female
Other:
Required
Date of Birth
*
MM
/
DD
/
YYYY
Name of ITI Institute.
*
Your answer
Address of ITI
*
Your answer
Trait
*
Fitter
Welder
Electrician
Other:
Year of Passing ITI
*
Your answer
Job Experience
Yes
No
Clear selection
Have you done NSDC Apprentice program ?
*
YES
NO
Has PF/ESI deduction be done from your pay before ?
Yes
NO
Clear selection
Phone Number
*
Your answer
Alternate Phone Number
Your answer
Email ID
*
Your answer
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