VAMA Industrial Training Institute

Student Registration Form

Trainee Name:

Session Start Year:

Session End Year:

Father's/Husband's Name:

Mother's Name:

Nationality:

Gender:

Date of Birth:

Trade:

Guardian's Name:

Relation with Guardian:

High School Name:

High School Passing Year:

High School Marks:

Intermediate School Name:

Intermediate Passing Year:

Intermediate Marks:

Graduation College Name:

Graduation Passing Year:

Graduation Marks:

Post Graduation College Name:

Post Graduation Passing Year:

Post Graduation Marks:

Other Education Details:

Roll Number:

Postal Address:

Postal Address State:

Postal Address Pincode:

Permanent Address:

Permanent Address State:

Permanent Address Pincode:

Phone Number:

Email Address:

Adhar Number:

Signature: