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* Indicates required question
NAME
*
Your answer
Aadhar card number
*
Your answer
Email ID
*
Your answer
Contact number
*
Your answer
Whether resident of Himachal Pradesh(course is only for himachali candidates)
*
yes
No
Profession
*
Graduate
Faculty/Teacher
Working Professional
Self-employed
Other:
Education
*
ITI
POLYTECHNIC
BCA
MCA
B.Tech
Other:
degree/diploma status(can apply if completed)
*
Completed
Pursuing
Name of your Institute/Company/Organization
*
Your answer
Institute/Company/Organization Address
*
Your answer
Correspondence Address
*
Your answer
Gender
*
male
Female
Other:
Date of Birth
*
MM
/
DD
/
YYYY
Whether BPL (Below Poverty Line)
*
yes
No
Emergency contact number
*
Your answer
Father's contact no:
*
Your answer
Mother's name
*
Your answer
Religion
*
Your answer
Caste
*
Your answer
Wheather you have done any HPKVN sponsored course in last 6 months
*
yes
No
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
Required
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