Registration Form

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REGISTRATION APPLICATION FORM FOR COURSE –

Please fill the mandatory fields. (*)

Choose Course Type
Course Type*
Applicant's Personal Details /आवेदक का व्यक्तिगत विवरण
Applicant's full name / आवेदक का पूरा नाम *
( Full name as per the highest / latest qualification certificate or legal certificate )
Care Of / देखभाल * Parents / माता पिता         Guardian / संरक्षक
Father's Name / पिता का नाम *
( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *
( Full Name As Per Educational/Legal Certificate )
Gender / लिंग* Male / पुरुष         Female / महिला
Date of Birth / जन्म दिनांक * (mm-dd-yyyy)
As per high school certificate in 'mm-dd-yyyy' format. i.e. 'Jan-01-1990' )
Marital Status / वैवाहिक स्थिति*
Category / वर्ग*
Handicapped / विकलांग * No / नहीं         Yes / हाँ
Religion / धर्म *
Contact Details / संपर्क विवरण
Phone with STD code / दूरभाष एस टी डी कोड सहित
Mobile Number / मोबाइल नंबर
Email Address / ईमेल पता*
Permanent Address Details / स्थायी पता विवरण
Address Line1/पता पंक्ति 1 *
Address Line2/पता पंक्ति 2 *
City Name /शहर का नाम *
State / राज्य *
District / जिला *
Pin Code / पिन कोड *
Correspondence Details / पत्राचार की सूचना
Address Line1/पता पंक्ति 1 *
Address Line2/पता पंक्ति 2 *
City Name /शहर का नाम *
State / राज्य *
District / जिला *
Pin Code / पिन कोड *
Educational / Qualification Details / शैक्षिक / योग्यता का विवरण
Highest Educational Qualification / उच्चतम शैक्षिक योग्यता *
Year of Passing / उत्तीर्ण वर्ष *
Identification Details / पहचान की सूचना
Aadhar Card Number / आधार कार्ड संख्या
Upload Photo / फोटो अपलोड करें *

( JPG,JPEG,GIF,PNG image with size upto 50 KB )

Upload Signature / हस्ताक्षर अपलोड करें *

( JPG,JPEG,GIF,PNG image with size upto 50 KB )

Upload left hand thumb impression / बांए हाथ के अंगूठे का निशान अपलोड करें*

( JPG,JPEG,GIF,PNG image with size upto 50 KB )

Visible Distinguishing Mark / स्पष्ट पहचान चिन्ह *
Declaration / घोषणा (यदि हाँ तो बॉक्स () पर क्लिक () करें)
   I understand that I am eligible to register myself for this course. If it is discovered at any later stage that I was not eligible to register myself in the Organization of Educational Development Course, my registration of the course will automatically be treated as null and void and I will have no claim whatsoever. I further undertake that I have carefully read all the relevant rules/instructions etc. of the OEDt and I undertake to abide by the same in all respects. I solemnly declare that the particulars filled in by me are correct and nothing has been concealed. In case of any discrepancy found therein, I shall be responsible for the consequences.