Application Form – St. Thomas PVT ITI

Date

Application No

CHOOSE DEPARTMENT *

AUTOMOBILE (MMV)

ELECTRICIAN

TOOL & DIE MAKING

First Name *

Last Name *

Gender *

Date of Birth *

Place of Birth *

Mother Tongue

Local Guradian’s Name *

Local Guradian’s Mobile Number *

Contact Address *

Contact Address

Address Line 1

Address Line 2

Place

District

Pincode

Mobile Number *

Aadhar Card Number *

Email *

Category *

Hostel

Hostel Facility Required

Photo *

Maximum upload size: 516MB

(Passport Size.jpg)

SSLC/HSS Certificate *

Maximum upload size: 516MB

(PDF)

Higher Education *

Plus Two

VHSE

Graduation

SSLC

Syllabus *

State Board

CBSE

Open School

Declare *

I declare that all the information provided by me on this from are correct to the best of my knowledge and belief.

Agree *

I understand that any wilful misinterpretation of facts will result in my dismissal from the institute. If admitted, I shall abide by all the rules and regulations of the Institute.

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