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CPDTI
Vision & Mission
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Infrastructure
E-LIBRARY
Wi-Fi Enabled Campus
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APPLICATION FORM
⚊⚊ ❖ ⚊⚊
PERSONAL DETAILS
Name: (as started in 10th/SSLC Marksheet) (In Bold Letters)
Father's Name:
D.O.B:
(DD/MM/YYYY)
Gender:
Male
Female
Marital Status:
Hostel Facility :
Yes
No
Nationality:
Religion:
Caste :
ST
SC
SC(A)
MBC
BC
BCM
GT
DIFFERENTLY ABLED
PERMENANT ADDRESS
Permanent Address
Local Address
E-Mail ID:
Mobile No.:
Landline:
Course Applied For
One year PG Diploma in Power and Desalination plant
Six months Maintenance in Power and Desalination plant
Three months maintenance helper in Power and Desalination plant
EHS Training
Special Category Training
Educational Qualifications Starting from 10th Std:
SI.No
Name of the Examination
Department
College/Institution
Year Of Passing
% of the Marks
If Sponsored Canditates from Industry/Name of the Industry/Address?