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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