Application Form

Please fill all the details carefully. If you have any queries, feel free to call us at 95513 87279

Course Details

Name Of The Course Applied *Name Of The Course Applied

Select the Duration *

Student Name *

Age

Father's Name

Mother's Name

Phone

Email *

Address for Communication *

City *

State/Province *

ZIP / Postal Code *

Country *

Select Your Gender *

Date Of Your Birth

Enter Your Aadhar Number

Upload Your Aadhar

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Education Qualification

Select Your Highest Qualification *

Name Of The Board / College / University *

Percentage (Marks) *

Passout Year

Addition Information

Coordinator Name *

Upload Certificate (PDF)

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Upload Your Passport Size Photo

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Please Upload Your Clear Photo. Do not upload selfie images.

Select Payment Method *

Transaction ID *

Upload Payment Proof

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