APPLICATION FORM
Name of the candidate(in BLOCK letters) as per school certificate.
* Name of the candidate :
* Email:
* Gender:
-- Select Gender --
Male
Female
Others
* Date of Birth:
Age:
* Mobile No(whatsapp):
Adhaar No:
ADDRESS
District:
--Select--
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Ernakulam
Thrissur
Palakkad
Malappuram
Kozhikode
Wayanad
Kannur
Kasaragod
Other
Other District:
* State:
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Delhi
Dadra and Nagar Haveli
Daman and Diu
Lakshadweep
Pondicherry
Pin:
* Qualification:
--Select--
ITI
PolyTech
Name of the institution:
Trade:
* If differently abled:
Yes
No
* Other Trade Name:
* Other:
* Cast Category:
--Select--
General
OBC
SC
ST
* Course Preference1:
-- Select Course --
Industrial electrician (Oil & gas)
Industrial Welder (oil & gas)
Process Instrumentation Technician (oil & Gas)
Fitter fabrication capital Goods
Course Preference2:
-- Select Course --
Industrial electrician (Oil & gas)
Industrial Welder (oil & gas)
Process Instrumentation Technician (oil & Gas)
Fitter fabrication capital Goods
* Caste Certificate from authority:
(if reserved)
Submit
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Skill Development Society (SDS) Kochi.
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