APPLICATION FORM

Personal Information
Full Name *
Gender Male Female
Date of Birth (dd-mm-yyyy)
Name of Father/Guardian
Father's Occupation Annual Income
Your Mobile Number *
Email Address *
Full Postal Address *
City *
Landline/Other Contact No (With STD Code)
Category

Educational Details
Examination Board/University Subjects Year Percentage
1.
2.
3.

Course/Trade
Name of the Course/Trade seeking admission: *
I do hereby declare that after getting admission to the ITI, I'll complete the course and abide by the
rules and regulations as laid down by Millennium ITI ,Bhopal.
I further declare that entire course fee will be return by me in case I leave the education before the completion of the course tenure.

Documents Required at the time of Admission:
- Attested copies of Mark Sheet 10th
- Income Certificate from competent authority
- Cast Certificate
- Adhar Card
- M.P. Domicile

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