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Application
Suryamitra Application Form
Candidate Image
Allowed Extensions:
.jpg, .jpeg, .png
And Image Size:
50kb to 500kb
First Name
Last Name/Surname
Father Name
Mother Name
Date of Birth
Age(as on 31 December 2017)
Gender
Select Gender
Male
Female
Category
Select Category
General
OBC
SC
ST
ID Proof
Select ID Proof
Aadhar Enrollment
Aadhar Number
Voter ID
ID Proof Number
Email Id
Mobile Number
Employment Status
Select Status
Employed
Unemployed
Name of Organization
Address
Village/City
Post
District
Pincode
State
Marital Status
Select Status
Unmarried
Married
Sl No.
Course
Trade/Stream
University/Board
Year
Duration(in Years)
Max Marks
Obtained Marks
Percentage
1
High School
Select
Science
Art
NA
2
Intermediate
Select
PCM
Biology
Agriculture
Commerce
NA
3
ITI
Select
Electrician
Electronics
Wireman
4
Diploma
Select
Electrical
Electronics
Mechanical
