Inditech Software Wizard Pvt. Ltd
Application Form
 
Personal Details
 
Applicant's Name*
Guardian's Name*
Relationship with Applicant*
 
Caste Total Family Members*
Gender Date of Birth*

Annual Family Income (Rs.)* Educational Qualification*
X/XII/Grad./PG Percentage* Nationality*
UID/Aadhaar Number UID Enrollment ID
Choice of Course (maximum 3)
Select multiple options by pressing ctrl key
 
Contact Details
 
Premises No. Locality/Road
District* Block*
Village/Ward* Town/City
Police Station* Post Office*
PIN* State*
Country Email*
Land Line No. Mobile No*
 
* Fields are mandatory
 
Bank Account Details (Optional)
 
Bank Account Number Account Name
Bank Name Branch name
IFSC Code    

I have Read and Accept the Terms and Conditions.
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