APPLICATION & REGISTRATION FORM

RE Academy for Technical Skills - Registration

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RE Academy for Technical Skills, Sponsored by EICHER Group
Rrase College of Engineering campus, Padappai, Chennai.
Implementing Agency: CED (Tamil Nadu), Madurai.
APPLICATION FORM
 
1. NAME : *
2. PARENT / GUARDIAN'S NAME : *
3. CONTACT NO. : *
4. DATE OF BIRTH(dd/mm/yyyy) **
5. AGE *
6. GENDER * Male Female
7. ADDRESS *
8. AADHAAR NO. *
9. MOBILE NUMBER *
10. EMAIL ID *
11. INSTITUTE NAME
12. DIPLOMA SPECIALIZATION Automobile Mech ECE EEE
13. YEAR OF PASS OUT
14. WORK EXPERIENCE, IF ANY
15. T-SHIRT SIZE(IN CMS) * 32 34 36 38 40 42
16. SHOE SIZE(IN INCHES) * 4 5 6 7 8 9 10
17. HEIGHT(CMS)
18. WEIGHT(CMS)
19. UPLOAD YOUR PHOTO *
20. UPLOAD AADHAAR CARD *
21. UPLOAD 10th/12th MARK STATEMENT *
22. DIPLOMA CONSOLIDATED MARK STATEMENT(If Available)