शंभवे गुरुवे नमः

Sristi Industrial Training Centre

Rajeev Nagar,Ghordaur Road, Patna - 800024, Bihar

Affliated To NCVT

(Govt. of India)

9472666753,8210048857

sristipatnaiti@gmail.com

Admission Form

Personal Details
Address
Other
Education

Personal Details

TRAINEES NAME

FATHER`S NAME

MOTHER`S NAME

DATE OF BIRTH

ADHAR CARD NO

GMAIL ID

Address for Communcation

PERMANENT ADDRESS

PINCODE

MOB NO

GUARDIAN MOB NO

CORRESPONDES ADDRESS

Other Information

RELEGION

CATEGORY

BLOOD GROUP

GENDER

Male Female

ARE YOU PHYSICALLY MAN

Yes No

WHETHER EX-SERVICE MAN

Yes No

Education

10TH MARKSHEET

10TH SCHOOL LEAVING CERTIFICATE

10TH ORIGINAL CERTIFICATE

PHOTOGRAPH

MEDICAL CERTIFICATE

SIGNATURE