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Registration for Surya Mitra training program

Name *

Phone Number *

Mail ID

Father’s Name *

Date of Birth *

Educational Qualification*

Upload Educational Qualification Certificate* Upload file under 2 MB

Other curriculum activities

Permanent Address

District *

Subdivision *

Block / Municipality *

Village / Town *

Post Office *

Police Station *

Present Address

Tick If Present address and Permanent address are same.

District *

Subdivision *

Block / Municipality *

Village / Town *

Post Office *

Police Station *

Aadhar card number *

Upload Aadhar card * Upload file under 2 MB

Caste*

Photo * Upload photo under 2 MB

Signature * Upload signature under 2 MB

I do herby declare that the above information is correct on my lnowledge