Candidate Name: Father Name: Local Address: Permanant Address: Contact No.: Email-Id: Date Of Birth: Day: DD12345678910111213141516171819202122232425262728293031 MMJanFebMarchAprilMayJuneJulyAugustSeptOctNovDec YYYY202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940 Sex: Male Female Category: GEN OBC SC ST Last Qualification : Training / Course For- Select CourseCopaElectricianFitterWelderCTSMESOthers Session : Select Session2014-152015-162016-172017-182018-192019-20 Enter Above verification code:   Hereby I declare that above fill information is true & best my knowledge and also I will obey all rules        and regulation of your college 'ITI basna', In case of any failure occur's in my given information then        you will free to cancel my registration without any information.