H.M Orphanage Private Industrial Training Institute
College .P.O, MANJERI - 676122
Phone : 0483-2973243 / 8281376600
Email : hmoitc@gmail.com
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APPLICATION FOR ADMISSION
* Registration Open Only for Electronic Mechanic 1st,Interior Designing&Decoration,Plumber,Civil Engineering 1st,Mechanical Engineering 1st,Electrical Engineering 1st,Computer Engineering 1st,Electrical Technician,Civil Engineering (EVG) 1st,Refrigeration & Air Conditioning,Electrical Engineering(Evg) 1st,
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Student Details
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First Name
Date of Birth
Age of Student
Gender
--Select One--
Male
Female
Class
--Select--
Electronic Mechanic 1st
Interior Designing&Decoration
Plumber
Civil Engineering 1st
Mechanical Engineering 1st
Electrical Engineering 1st
Computer Engineering 1st
Electrical Technician
Civil Engineering (EVG) 1st
Refrigeration & Air Conditioning
Electrical Engineering(Evg) 1st
Aadhar No.
Nationality
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Indian
BloodGroup
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A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
Province/State
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Kerala
Kerala
District
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Mother Tongue
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Malayalam
Beary
Farsi
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Nil
Tamil
Bangala
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Indonesian
Persian
Hindi
Urudu
Bangali
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Bangla
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Afgani
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hindi
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Pusthu
English
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Indonesia
Telugu
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Nawaity
Malyalam
Malayalm
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Telungu
Bengali
Odia
Uyghur
Ozbek
Swahili
Gujarati
Somali
Indonsesian
Sindhi
Panjabi
Turkish
Kannada
Taglog
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indonesian
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മലയാളം
Country Of Birth
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India
Hobbies
IDMark
Parents / Family Details
Father's Information
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WhatsappNo
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Job Country
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India
Job Location
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Occupation/Profession
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Bussines
Doctor
Teacher
Coolie
Pravasi
Engineer
House Wife
Pravasi Returned
Govt. Employee
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Self Employee
Salesman
Retired Employee
Saleswomen
Home Maker
Qualification
Mother's Information
Name
Mobile
WhatsappNo
Email
Job Country
--Select--
India
Job Location
--Job Location--
Occupation/Profession
--Select--
Bussines
Doctor
Teacher
Coolie
Pravasi
Engineer
House Wife
Pravasi Returned
Govt. Employee
Private Employee
Self Employee
Salesman
Retired Employee
Saleswomen
Home Maker
Qualification
Local Guardian
Father
Mother
Other
Present Address
House Name
City/Place
Pincode
Taluk
--Taluk--
Ernad
Tirur
Malappuram
Nilambur
Panchayath
--Panchayath--
Anakkayam
Manjeri Muncipality
Thrikkalangode
Mankada
Pandikkad
Edavanna
Malappuram Municipality
Nilambur Municipality
Kottakkal
Post Office
--Post Office--
Manjeri
Karuvampuram
Manjeri College
EmailId
Permanent Address
Same as above
House Name
City/Place
Pincode
Taluk
--Taluk--
Ernad
Tirur
Malappuram
Nilambur
Panchayath
--Panchayath--
Anakkayam
Manjeri Muncipality
Thrikkalangode
Mankada
Pandikkad
Edavanna
Malappuram Municipality
Nilambur Municipality
Kottakkal
Post Office
--Post Office--
Manjeri
Karuvampuram
Manjeri College
EmailId
Documents Details
SSLC Certificate
Document.No
Original
Duplicate
Transfer Certificate
Document.No
Original
Duplicate
Aadhar
Document.No
Original
Duplicate
Income Certificate
Document.No
Original
Duplicate
Community Certificate
Document.No
Original
Duplicate
Signature of Trainee
Document.No
Original
Duplicate
Qualification Details
CourseName
University
InstituteName
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