ITI College POS

🎓 STUDENT ADMISSION FORM

Kharagpur Private ITI — Fill all fields in BLOCK LETTERS

Course Applied For

Trade / Course *

Batch Year *

Admission Date

01. Full Name (in Block Letters)

02. Father's Name

Father's Mobile

Occupation (Field 05)

03. Mother's Name

Mother's Mobile

Annual Income (₹)

04. Permanent Address

City / Town

State

Mobile * (+91)

06. Name of Local Guardian

07. Relationship with Student

08. Present / Local Address

Another Mobile (if any) +91

8. Aadhaar Card No.

09. Date of Birth

10. Nationality

11. Merit Rank

District Rank

State Rank

SC/ST/OBC/Others Rank

12. E-mail

13. What's App No.

14. Sex

15. Religion

16. Caste

17. Academic Record

Examinations	Board / University	Year of Passing	% of Marks	Division
10^th / Equivalent
Higher Secondary / Equivalent
Graduation / Equivalent
Post Graduation / Equivalent

18. Marks Obtained in MP / 10^th Standard

Marks in Phy. Sc.	Marks in Mathematics	Total Marks in PM	% of Marks in PM

19. School Last Attended (Madhyamik / Equivalent)

(a) School Name

(b) School Address

Labour Card (if any)

Labour Card No.

Card Holder Name

Hostel

Also admitted to Hostel

Mark if student will reside in hostel

💰 Admission Fee Payment

Amount (₹) *

₹

Payment Mode *

Collected By

ℹ️ Roll No. will be auto-generated after submission. A fee receipt will open automatically.