State* Select State Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujrat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Madhya Pradesh (MP) Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal District* Address* Block* Centre Name* Phone Number* Pin Code* Email* Student Information Name* Course Name* --Select Course-- Diploma in Nursing Administration ADVANCE CERTIFICATE IN SPOKEN ENGLISH ADVANCE DIPLOMA IN COMPUTER APPLICATION (ADCA) ADVANCE DIPLOMA IN COMPUTER APPLICATION (ADCA) ADVANCE DIPLOMA IN INFORMATION TECHNOLOGY (ADIT) Advanced Diploma in Financial Accounting System [ADFAS] Auxiliary Nurse and Midwife(ANM) B.Sc NURSING ( Bachelor of Science in Nursing ) Bridal Makeup CERTIFICATE COURSE IN CCTV INSTALLATION AND MAINTENANCE. CERTIFICATE COURSE IN CERTIFICATE COURSE IN YOGA & FITNESS CERTIFICATE COURSE IN DRAWING AND PAINTING CERTIFICATE COURSE IN PUBLIC HEALTH WORKER CERTIFICATE IN ACCOUNTING (TALLY) CERTIFICATE IN BEAUTICIAN CERTIFICATE IN COMPUTER AIDED DESIGN (CCAD) CERTIFICATE IN COMPUTER APPLICATION (CCA) CERTIFICATE IN DATA ENTRY OPERATION. CERTIFICATE IN ELECTRO CARDIOGRAPHY TECHNIQUE (E.C.G. TECHNICIAN) CERTIFICATE IN FINANCIAL ACCOUNTING (CFA) CERTIFICATE IN HOUSE WIRING & ELECTRICITY CERTIFICATE IN INFORMATION TECHNOLOGY (CIT) Certificate in Information Technology Application(CITA) CERTIFICATE IN SPOKEN ENGLISH Certificate in Vat Solution Expert (CVSE) Computer Concepts Certificate (CCC) Computer Concepts Plus (CCC+) DIPLOMA COURSE IN TAILORING (DCT) DIPLOMA COURSE IN BEAUTICIAN (DCB) DIPLOMA IN OFFICE MANAGEMENT (DOM) DIPLOMA IN COMPUTER APPLICATION (DCA) DIPLOMA IN DESKTOP PUBLISHING (DDTP) DIPLOMA IN DRAWING AND PAINTING Diploma in Financial Accounting System [DFAS] Diploma in Home Nursing (DHN) DIPLOMA IN INFORMATION TECHNOLOGY (DIT) Diploma in Information Technology Application [DITA] Diploma in Office Automation & Publishing (DOAP) Financial Accountancy (TALLY ERP-9) FUNDAMENTAL OF NURSING (FN) General Duty Assistant (GDA) GNM ( General Nursing and Midwifery ) INTRODUCTION OF SPOKEN ENGLISH PGDCA PROFESSIONAL COURSE IN JAVA SPECIALIST IN PRINTER REPAIRING (SPR) Mother's Name* Maritul Status* Single Married Husband's Name Referance ID Nationality Indian Others Scheme Name Father's Name* Gender* Male Female Others Qualification* Caste* Religion* Select Religion Hinduism Islam other Date of Birth* Scheme Approved Upload Photo Upload Signature Upload Document Submit * Please fill all required form field, thanks!