Certificate Program Registration
ApplicantName (as per SSLC)
Date Of Birth
Gender
--Select--
Male
Female
Student's Mobile
Student's Email
Alternate Mobile No.
Student's Aadhar Card Number
Student Photo
Family Details
Parent
Name
Father
Mother
Guardian
Mobile No.
Email Id
Occupation
*
--Select--
Agriculture
Business
Catering
Clerical/Sales
Doctor
Government Service
Home Maker
Industrialist
Industry employed
Others
Police/Defence
Private Service
Retired
Self Employed/entrepreneur
Software Professional
Teacher/ Lecturer
Current Address
*
*
--Select Country--
#None#
Afghanistan
Albania
Algeria
American Samoa
Angola
Anguilla
Antartica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo),( Democratic Republic of the
Congo),( Republic of the
Cook Islands
Costa Rica
Cote dIvoire
Croatia
Cuba
Cyprus
Czeck Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia),( The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Ireland),( Northern
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kiribati
Korea),( North
Korea),( South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia),( Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man),( Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia),( Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcaim Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romainia
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
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Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich Islands
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Tobago
Toga
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wales
Wallis and Futuna
West Bank
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
--Select State--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
New Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
Uttarakhand
*
--Select District--
*
*
Quota
- Select Quota -
General
ITI LATERAL
Tata Steel
Tata Group
TISS Group
Tata General
Tata Special
Odisha : Displaced
Odisha : Non Displaced
Odisha : JODA
Odisha : NAMUNDI
MNTC – Alumni
KUMBAKONAM - SPECIAL FEE
PARADADA PARADADI
MNTC – Alumni - Lateral
CPPM / CPCA CONVERSION
NGO SPONSORED – DIPLOMA
ASSOCIATE SPONSOR
CERTIFICATE COURSE
NGO SPONSORED – CPPM
STAFF QUOTA 50%
STAFF QUOTA 100%
KERALA QUOTA
NGO SPONSORED – CERTIFICATE
KADECO SPONSORED
Karnataka Concessional Fee
General-GET
Associate Sponsor – ITI Lateral Fee
Details of examinations appeared / passed
- Select Details of examinations appeared / passed -
SSLC/ 10th Std/ Vocational Course/ Equivalent course
PUC/ +2/ 12th Std/ Vocational/ Equivalent course
ITI/ Equivalent course
Domicile Category
- Select Domicile Category -
Urban
Rural
0
Education Details
Class
Medium of Instruction
Year of Passing
Name, Full Address & Phone No. of School/ College
10th/ SSLC
#Select#
English
Hindi
Kannada
Malayalam
Marathi
Oriya
Tamil
Telugu
_Other_
--Select--
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
ITI
#Select#
English
Hindi
Kannada
Malayalam
Marathi
Oriya
Tamil
Telugu
_Other_
--Select--
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
12th/ +2/ PUC
#Select#
English
Hindi
Kannada
Malayalam
Marathi
Oriya
Tamil
Telugu
_Other_
--Select--
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
Course Centre Preference
Course
Centre Preference 1
Centre Preference 2
Preference 1
--Select--
CERTIFICATE PROGRAMME IN MULTI SKILL
Certificate in Tool and Die Making
CERTIFICATE PROGRAMME IN PRECISION MACHINIST
Certificate Programme in Precision & CNC Machinist
--Select--
--Select--
Preference 2
--Select--
CERTIFICATE PROGRAMME IN MULTI SKILL
Certificate in Tool and Die Making
CERTIFICATE PROGRAMME IN PRECISION MACHINIST
Certificate Programme in Precision & CNC Machinist
--Select--
--Select--
Preference 3
--Select--
CERTIFICATE PROGRAMME IN MULTI SKILL
Certificate in Tool and Die Making
CERTIFICATE PROGRAMME IN PRECISION MACHINIST
Certificate Programme in Precision & CNC Machinist
--Select--
--Select--
Lead to Institute
--Select--
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