Registration
Year* :
Batch* :
District* :
Name of Center* :
Course* :
Name of the Applicant* :
* As per Matriculation Certificate(Do not use Salutation before Name Like: Mr/Ms/Mrs. etc.)
Father's / Guardian's Name* :
* As per Matriculation Certificate(Do not use Salutation before Name Like: Mr/Ms/Mrs. etc.)
Guardian's Mobile No.*:
Date of Birth* :
* As per Matriculation Certificate
Physically Disabled :
Note: If yes, then submit attested Medical Board Certificate
Gender* :
Category*:
Caste* :
Name (As Per Aadhaar)* :
Year of Birth (As per aadhaar)* :
Aadhaar No.* :
Email ID* :
Mobile No.* :
Password* :
* Eg: abc@1234
Note:
(Minimum eight characters, at least one letter, one number and one special character.)
Confirm Password* :
Captcha
Enter the code shown above* :