Registration Details

A. Personal Details

Name of the Candidate *

Initial Name
Candidate Initial is required Candidate Name is required Enter Valid Name. Do not use special characters Enter Valid Name. Do not use special characters

Gender *

Male

Female

Transgender

Date of Birth *

Date Month Year

Mobile No. *

Mobile No is required Enter a valid mobile number

email-ID *

Email ID is required Enter a Valid Email ID

Father's Name

Enter Valid Name. Do not use special characters

Mother's Name

Enter Valid Name. Do not use special characters

Are you a Differently Abled Person?

Yes

B. Address Details

Door No.* Street Name*

Area*

Local Body*

District* Taluk* Pincode*

Door No. is required Street is required Area is required Local Body is required District is required PinCode is required Enter a valid PIN Enter Valid Address Enter Valid Location Enter Valid Address

C. Communal Details

Religion Community Certificate No.

Religion. is required Community is required Enter Valid Community Certificate No. Do not use special characters

D. Educational Qualification

Qualification* Name of Degree Year of Completion
Enter Valid Name. Do not use special characters

Institute Name Place
Enter Valid Name. Do not use special characters Enter Valid Name. Do not use special characters

Qualification is required

E. Course Opted

Course*

Training Location/Center*

Course is required

Training Location is required

F. Proof

Aadhar Card No.*

Proof of Educational Qualification (Certificate No)

Aadhar Number is required Enter Valid Aadhar No. Do not use space or special characters Enter Valid Educational Proof. Do not use special characters

G. Bank Details (should be in Candidate name to receive the Travelling Allowance. If not available, kindly open the account and give details before training)

Bank Name

Branch Name

Required Enter Valid Name. Do not use special characters

Enter Valid Name. Do not use special characters

IFSC Code

Account No.

Required Enter Valid Name. Do not use special characters

Account Holder Name

Required Enter Valid Name. Do not use special characters

H. Photo File Upload

Photograph of the Candidate
(Image format : jpg, jpeg)*

Please upload only Image files

Please upload your Passport Size Photo

Allowed Photo Size - 3.5 cm x 4.5 cm (20 KB -50 KB)

I. Experience (Optional)

Industry
Enter Valid Name. Do not use special characters

Company
Enter Valid Name. Do not use special characters

Job Start Date Job End Date

Job Type

Technical

Non-Technical

Please Enter Valid Date Please Enter Valid Date

J. Verification and Declaration

Verification Code

Enter Verification Code

I declare that the above particulars furnished by me are correct to the best of my knowledge and I abide by the rules of BSNL during the Training period.

I accept the above said declarations