New J.A Private ITI

New JA Private ITI

Affiliated to NCVT, New Delhi, India

Application for Admission

Daranagar, Kaushambi, Uttar Pradesh 212204, India

+91 88744 23874 · +91 88404 83534

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Registration & Trade

Session

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Aadhaar No.

Candidate details

Full name (Mr/Ms/Mrs) *

Date of birth

Father's name

Mother's name

Father / Mother occupation

Annual income

Contact

Candidate phone *

Parent's phone

Parent's email

Mailing address

Address

State

District

PIN code

Permanent address

Address

State

District

PIN code

Educational qualifications

Attach photocopies of mark sheets and passing certificates at the office. Add a row per examination.

Name of examination	Board / Univ / Instt.	College name	Roll no.	Year of passing	Subjects	Max. marks	Obtained marks	% of marks

Declaration

Applicant signature

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I hereby declare that all information given above is correct to the best of my knowledge. I understand that misrepresentation may result in cancellation of admission and that fees are non-refundable after admission.

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