Full Name

Father's Name/ Husband's Name

Mother's Name

Nationality

Category
--Select Category--SCSTOBCGeneral

Gender
--Select Gender--MaleFemale

Date of Birth

Secondary or equivalent School Name

Board / University

Year of passing

Percentage of marks

Higher Secondary School Name

Board / University

Year of passing

Percentage of marks

Languages known

Phone number

Email Id

Technical Knowledge

Guardians Occupation

Relocate
-- select --YesNoMaybe

Course Interest

Permanent Address

Address for correspondence