किसी भी प्रकार से ऑनलाइन फाॅर्म सम्बंधी जानकारी के लिए सम्पर्क करे- 9314537213, 0141-2240370 Basic Details 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 *---MaleFemale Religion *---HinduMuslimChristianSikhBuddhistParsiJainOthers Category (A)* ---GeneralSCSTOBCOther Category (B) * ---PH (Physically Handicapped)Widow/DivorceeEx. ServicemanNa Is Applicant having Smart Phone ? YesNo Have you been Admitted in any ITI course before?*YesNo State* City* Pin Code Current Address* Permanent Address* Trade*---ElectricianFitterMech. (RAC)Mech. (Diesel) Student Photo (Max Size 200KB)* Student Signature (Max Size 200KB) * Educational Qualification 1 10th * 2 12th Science/MathScience BiologyCommerceArtsOther 3 Other B.A.B.Com.B.ScM.A.M.Com.M.Sc.PolytechnicB.Tech.Other Upload Documents (All Documents Max Size 200KB) 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