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REGISTRATION FORM
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* Indicates required question
NAME
*
Your answer
Aadhar card number
*
Your answer
Email address
*
Your answer
Contact number
*
Your answer
Weather resident of Himachal Pradesh (course is only for himachali candidates)
*
yes
No
Profession
*
Student
Working Professional
Faculty/Teacher
Self-employed
Other:
EDUCATION
*
ITI
Polytechnic
BCA
MCA
B.Tech
Other:
Degree/diploma status (can apply if completed)
*
Pursuing
Completed
Name of your Institute/Company/Organization
*
Your answer
Institute/Company/Organization Address
*
Your answer
Home Town
*
Your answer
DISTRICT
*
Your answer
Correspondence Address
*
Your answer
Gender
*
male
female
Other:
Date of birth
*
MM
/
DD
/
YYYY
Whether BPL (Below Poverty Line)
*
yes
No
Whether PWD
*
yes
No
Emergency contact number
*
Your answer
Father's name
*
Your answer
Father's contact number
*
Your answer
Mother's name
*
Your answer
Religion
*
Your answer
Caste
*
Your answer
Wheather you done any HPKVN course in last 6 months
*
yes
No
Additional comment
Your answer
I acknowledge that all the information filled above is true up to my best knowledge. If I am found to falsify any of the information, I will be immediately disqualified from the course
*
agree
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