Anitech

State

District

Study Center Name / Code

Course Category

Course Name

Student Name

Father's Name

Mother's Name

Date of Birth

Religion

Gender

Marital Status

Last General Qualification

Mobile No.

Pin Code

Address

Photo ID Proof

(Voter ID Card, Admit Card, Adhar Card, School/College ID Card)

Note: Image height: 140px & width: 120px. Resolution: 200 DPI