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STUDENT APPLICATION FORM
Customer ID:_________
Form No:
NSDC/ON/20-21/00002378
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Name of Training Program :
(Please read this form carefully before filling details. All the details shall be in Block Letters. Incomplete form shall not be accepted.)
Name of Candidate : Mr./Ms./Mrs.:
Date of Birth:
Age in Years:
Place of Birth:
Gender :
MALE
FEMALE
Transgender
Guardian Type :
S/O
D/O
W/O
C/O
Name of Father/Guardian :
Mother’s Maiden Name :
Ration Card No. :
Aadhaar Enrollment No. :
Caste Category :
GEN
SC
ST
OBC
NA
Physical Disability:
YES
NO
IF YES
Hearing Impaired
Visually Impaired
OTHER
Religion:
Hindu
Muslim
Christian
Sikh
Buddhist
Jews
Other
Mother Tongue :
Marital Status :
Single
Married
Current Address :
Taluka:
District :
State:
PIN Code :
Permanent Address :
Same as above
E-mail ID :
Contact Number :
Pre Training Status:
Fresher
Experienced
Previous Experience:
Year
Months
Education Level:
Un-Educated
Under Graduate
Graduate
Post Graduate
ITI
Polytechnic
Diploma
Technical Education:
Yes
No
Please Specify Qualification :
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