Institute Type --Select-- Muskaan LMS EV Training Saksham LMS Computer Lab

Institute Select Institute

First Name / Student Name

Middle Name

Last Name

Email

Phone Number

Alternative Phone Number

Gender --Select-- Male Female

Father Name

Parents Email

Parents Occupation --Select-- Driver Mechanic EWS

Institute Class --Select--

Subject Maths English Computer

Last year percentage (2022-23)

Last year maths percentage (2022-23)

Last year english percentage (2022-23)

Upload last year marksheet (2022-23)

Have you Received Muskaan Scholarship? --Select-- Yes No

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Must contain at least one number and one uppercase and lowercase letter and one special character, and at least 8 or more characters

DOB

Occupation --Select-- Self Employed Salaried

Shop Name

Shop Phone Number

Address

Preferred Timings --Select-- Morning Afternoon Evening

Type Of Document --Select-- Pan Card Adhaar Card Voter ID Driving License

Id Proof

Bank Passbook

Proof of Experience

Mobilized by --Select-- Gyaneshver Singh Nitesh Self

By submitting the application form, I hereby provide my consent to participate in the training program. I may choose to withdraw from the training program at any moment. I understand that my personal data will be used by the company for the purpose of the training program.

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