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Free Skill Development Training under PMKVY 4.

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REGISTRATION FORM

Personal Information (To be filled in Capital letters)

Name: Gender: Male Female

Caste Category: General SC ST, Religion:

Address:

City: District: State:

Pin Code: Mobile No.:

Aadhar No.: Email Address:

Educational Qualification

Educational level: 12th Grade Year of Passing:

Subject (Tick whichever applicable): Maths Physics Computer

Job Role (Interested Course)

Job Role (Select any one): Application Developer- Web & Mobile

Drone Manufacturing and Assembly Technician

Date: Signature:
Place:

Note: Documents to be submitted along with this form


1. Aadhar Copy
2. 12th Mark sheet & Certificate

*For form submission: You may either visit IIIT Manipur or email at rajshree@iiitmanipur.ac.in.

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