DIPLOMA IN BASIC RURAL TECHNOLOGY Registration

You are registering for Vocational Course - DIPLOMA IN BASIC RURAL TECHNOLOGY

Name

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Mother's Name

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Date of Birth

Gender

Aadhar Number

Identity Type

Identity No

Mobile Number

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Permanent Address

House/Door/Flat No

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Village/Ward No/Landmark

Country

State/UT

District

Pincode

Correspondence Address

Same as Permanent Address

House/Door/Flat No

Street/Locality/Area Name

Village/Ward No/Landmark

Country

State/UT

District

Pincode

Medium

Social Category/Caste

Disability

Below Poverty Line

Nationality

Other Nationality

Disadvantage Group

Educational Qualification

Year of Passing 10th

X Board

Year of Passing 12th

XII Board

I, the deponent, do hereby solemnly declare and verify that the contents of the above declaration are true to the best of my knowledge and belief, and nothing material has been concealed or suppressed therefrom. This electronic self declaration has been given with reference to IT Act 2000 and is admissible under The Indian Evidence Act 1872.

DIPLOMA IN BASIC RURAL TECHNOLOGY Registration

You are registering for Vocational Course - DIPLOMA IN BASIC RURAL TECHNOLOGY

Basic Detail

Address

Other Details

Declaration