Application for Diploma Courses

(Entries once made in this page cannot be edited. So enter the details carefully.)

Please indicate the course for which you are applying*

Serial No:

Date:

Upload Photo *

Passport size photo in digital form with following specification:
Maximum Size : 60Kb,
Image Dimension : 150W X 200H px,
Image Type : jpg

Student's name:*
as in the school records

Father's/Guardian's name:*

Date of Birth*
(dd-mm-yyyy)

- -

Sex *

Birthplace:

Nationality:

Permanent Address:

PIN CODE:

Current Contact Address:

PIN CODE:

Contact Phone Number (MOB)*

Email Address **
Enter email id correctly.

Level	Examination Passed	University/Board	Year of Passing	Class/Grade	% of Marks	Action

Proficiency in computer knowledge:

Mention your Caste/Community/Religion if you belong to a reserved community:

Category:

Caste/Community/Religion:

Are you a candidate sponsored by government /autonomous bodies:

Are you a foreigner or award of an NRI:

APPLICANT'S AFFIDAVIT

I certify that the information on this application is complete and correct. I understand and declare that all information furnished and all documents submitted for admission is true to the best of my knowledge and belief.

Indicate details of Application fee:

CDIT Account Details

Bank : SBI, TVM
Branch : City Branch
Account No : 57036991962
IFSC : SBIN0070028