Ramkrishna Memorial Private Industrial Training Institute

A

Institute name & admission details

Institute name *

Date of admission *

Course / trade *

Method subject

B

Student's APAAR ID details

APAAR ID

Username

C

Student's personal details

Name of student *

Gender *

Date of birth (as per Aadhaar card) *

Category *

Aadhaar card no. *

Blood group

Religion *

Nationality *

Mobile no. *

WhatsApp no. *

Email ID *

D

Student permanent address

Address *

State *

District *

Post *

PS *

Pin code *

Block / municipality *

E

Parent's details

Father's name *

Mother's name *

Father's / mother's mobile no. *

Annual family income

Guardian name

Relationship with guardian

F

Qualifying examination details

Exam passed	Month & year of passing	School / college / university	Roll no.	Total marks	Marks obtained	Marks obtained (%)	Division

G

Student portal login & upload photo

Student passport size photo

Student signature