Student Name *

Upload Student Photo

Student Aadhar Number *

Gender * Select Gender Male

Father Name *

Mother Name

Qualifying Exam Passed * Select 12th(Pass with Biology Group ) 12th(Pass with Pure Science Group )

Select Community Select Community OC BC MBC/DNC SC ST Other

Date of Birth

Mobile Number *

Email ID

Select Courses * Select Diploma in Health/ Sanitary Inspector Courses

Address for Communication *