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Kamla Devi Private ITI

Saket Nagar Road, Tilai Belwa, Deoria-274001
Tel: +91 9889412220 | Email: kditi2436@gmail.com

Admission Form (2020-21)

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 
 

Sibling Details:

Sibling (Real Brother/ Sister) only studying in Kamla Devi Private ITI    
 
Name of Course in Which Brother/Sister Studying.
 
 
Name of Brother/Sister
 
 

Trainee Details:

 
Tranee Name*
Father's Name
 
Mother's Name*
Gender*
 
Date of Birth*
Category *
 
Mobile No *
Alternate Mobile No.
 
Nationality*
Religion*
 

Educational Information and Course Detail

 
Course and Trade for Admission*
Percentage(%) in High School (10th)
 
Higest Education
Percentage(%) of Highest Education
 

Trainee Address Details

Trainee's Aadhar Card No.
Domicile State
 
Address*
Pin*
 
Trainee E-mail
*
 

Attachments and Uploads

Highest Education Marksheet
High School Marksheet*
 
 
Income Certificate
Trainee's Photo*
 

Additional Information

Do you want to need transport(Transport Facility will given on avilibility of seats) *
 
I Agree