Source of Admission * Trainee Code * NSIC Date * Enrollment No. * Primary DetailsName * S/O, W/O, D/O * Passport Size Colored Photograph * D.O.B * Age * Gender * Select GenderMaleFemaleOther Blood Group * Select Blood GroupDon't knowA+A-B+B-AB+AB-O+O- Marital Status * Select Marital StatusSingleMarried Qualification * Aadhar No. * Category * Select CategoryGeneralSCSTOBCEWSOther Address DetailsAddress * Contact DetailsMobile No. * WhatsApp No. * Email * Family Contact – 1 *Name * Relation * Select RelationFatherMotherBrotherSisterSpouseOther Contact Number * Family Contact – 2 (Optional)Name Relation Select RelationFatherMotherBrotherSisterSpouseOther Contact Number Course DetailsSr. No.Name of Course *Duration *1Select Duration1-3 Months3-6 Months6-12 Months12-18 Months18-24 MonthsOther2Select Duration1-3 Months3-6 Months6-12 Months12-18 Months18-24 MonthsOther3Select Duration1-3 Months3-6 Months6-12 Months12-18 Months18-24 MonthsOtherSelf DeclarationI do hereby confirm that the above information given by me is true and correct to the best of my knowledge.Date * Place * Library Competitive Exam SignaturesStudent Signature * Front Office Executive Signature * Center Head Signature * Terms & ConditionsI have read and understood all the Terms & Conditions of ALPS Institute and agree to abide by them during my training period.I agree to the Terms & Conditions