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Application format for applying for the training of New AI Technician

* Indicates required field

Apply for (Tick Here) *

New trained AIT Needed Training for being New AIT

1. Name of the applicant: *

First

Last

2. Phone Number *

3. Father’s Name *

First

Last

4. Applicant’s date of birth: *

5. Address: *

Line 1

Line 2

City

State

Zip Code

Country

6. Email *

7. Educational Qualification

(From 10th onwards) *

Year of Passing *

Board/University *

% marks *

12th *

Graduation *

Post Graduation *

Year of Passing *

Board/University *

% marks *

Board/University *

% marks *

Board/University *

% marks *

8. Experience as AI Technician in years: *

9. Training Details : *

Duration from *

Duration to *

UntiGrade *

10. Full Address of Training Institute_ *

Line 1

Line 2

City

State

Zip Code

Country

11. Contact No of Training Institute *

12. Average no. of AI per month: *

13. Details of villages in which AI Technicia n is presently operating in descending order (higher to lower) *

14.Upload your Colour Photo *

Max file size: 20MB

15. Upload your Biodata/CV *

Max file size: 20MB

16.Undertaking: I hereby undertake that the information provided above is correct to the best of my knowledge. *

Yes No

Submit

For any Information/Clarification
Please do contact on
Mobile: +91 8392951118 or 8392951116 or
Email: info@koshishsevafoundation.org

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