Institution Name* Select Institution Ajeenkya DY Patil University, Lohegaon, Pune Bapuji Institute of Engineering and Technology Bharathiyar Arts and Science College for Women BMS Institute of Technology and Management Christ University CSMSS CHH. SHAHU COLLEGE OF ENGINEERING Dhanalakshmi srinivasan College of Arts & Science for Women, Perambalur Fatima College G H RAISONI COLLEGE OF ENGINEERING & MANAGEMENT, WAGHOLI, PUNE Guru Nanak College, Chennai Hindusthan College of Engineering and Technology Holy Cross College, Trichy JSPMS RAJARSHI SHAHU COLLEGE OF ENGINEERING K. L. E. Society's P. C. Jabin Science College, Karnataka K.S.R College of Arts and Science for Women KCG College of Technology KLE Society's College of BCA, RLS Institute KLE Society's Degree College, Nagarabhavi, Bangalore KLE Society’s S Nijalingappa College,Bengaluru KLS Gogte Institute of Technology Kongu Arts and Science College Kongunadu Arts and Science College Kristu Jayanti College Lady Doak College Modern Education Society’s College of Engineering, Pune Nirmala College for Women Nitte Meenakshi Institute of Technology P.S.R Engineering College PSGR Krishnammal College for Women PSNA College of Engineering & Technology Rajarajeswari College Of Engineering, Bangalore Rajeev Institute of Technology Sahyadri College Of Engineering & Management, Mangalore Sarah Tucker College Shri Shankarlal Sundarbai Shasun Jain College for Women Shrimati Indira Gandhi College Sri Kaliswari College Sri Krishna College of Technology Sri Ramakrishna College of Arts & Science Sri Sairam Institute of Technology, Chennai Sri venkateshwara college Engineering Srinivas University St. Joseph's College of Engineering Terna Engineering College, Navi Mumbai Thassim Beevi Abdul Kader College for Women Tuljaram Chaturchand College of Arts, Science and Commerce, Baramati Universal College of Engineering , Mumbai Vellalar College for Women VISHWAKARMA INSTITUTE OF INFORMATION TECHNOLOGY Zeal Education Society's Zeal College of Engineering and Research, Pune
Course Name * Select Course
Student Name
Father's Name *
Mother's Name *
Gender * --Select-- Male Female
Martial Status * --Select-- Single Married
Aadhar Number *
Community * --Select-- General OC BC MBC SC ST Others
Other Community *
Religion *
Physically Challenged --Select-- Yes No
Family Annual Income --Select-- Below 1 Lakh Per Annum Between 1 Lakh - 2 Lakh Per Annum Between 2 Lakh - 3 Lakh Per Annum Less than 3.5 Lakh Per Annum
I am --Select-- from Family with Annual Income less than 3,50,000/- Differently abled First Graduate in the family Single Parent Child Supported by Guardian
Year of Passout --Select-- 2021 2022 2023
Email-id *
Mobile Number *
Door No / Flat / Street *
Area / Location *
State *
District*
City *
Pin Code *
I declare that all the above details are true to the best of my knowledge. I intend to attend the scheduled training classes and would participate in all the events conducted as part of the Training program.