Online Registration for Admission 2020-21

Full Name (As per 10th class marksheet )^*

Father Name (As per 10th class marksheet )^*

Mother Name (As per 10th class marksheet )^*

Date of Birth ^*

Age as on 01.08.2020

Mobile No. ^*

Email ^*

Gender ^*

Religion ^*

Category (A)^*

Category (B) ^*

Is Applicant having Smart Phone ?

Have you been Admitted in any ITI course before?^*

State^*

City^*

Pin Code

Current Address^*

Permanent Address^*

Trade^*

Student Photo (Max Size 200KB)^*

Student Signature (Max Size 200KB) ^*

10th ^*

12th

Other

Mark Sheet 10th^*

Caste Certificate (General Category not required)

Domicile Certificate (If 10th class Pass out from other State)

Aadhar Card^*

Minority Certificate (if Minority Category)

*Bank Account Details
(For Online Payment of Fee through UPI/RTGS/NEFT/Internet Banking)*

Name of Bank- Punjab National Bank
Name of Account- Bhushan Pvt Industrial Training Institute
Account No.- 4144002100014654
IFSC Code- PUNB0414400

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