Get Application Form Esdm

National Institute of Electronics Information Technology NIELIT J K Department of Electronics Information Technology Ministry of Communications Information Technology Govt. of India Write in block letters only Application Form for ESDM Course 1. Name Attested Photograph 2. Father s name 3. Mother s name 4. Details of Aadhar card Male 5. Gender 6. Date of Birth Single other Tick dd-mm-yy 7. Marital status Female 8. Category Schedule Caste Married Schedule Tribe Divorced Widowed EWS General 9. Annual Family Income EWS. 10. Course Name. 11. Phone with STD code. Mobile Number. 12. Email address. 13. Permanent Address. 14. Correspondence address. 15. Student s bank account details 16. Educational Qualification 17. Highest educational Qualification 18. Experience in year if any. 19. Identification details. I certify that the above information is true to the best of my knowledge. Date / Signature Encl* Attested copies of Qualification certificates Category certificate Income certificate. Srinagar Office SIDCO Electronics Complex Old Airport Road Rangreth Srinagar Phone 0194-2300502 2300805 Fax 0194-2300949 Jammu Office New Campus University of Jammu Dr. Name Attested Photograph 2. Father s name 3. Mother s name 4. Details of Aadhar card Male 5. Gender 6. Date of Birth Single other Tick dd-mm-yy 7. Marital status Female 8. Category Schedule Caste Married Schedule Tribe Divorced Widowed EWS General 9. Date of Birth Single other Tick dd-mm-yy 7. Marital status Female 8. Category Schedule Caste Married Schedule Tribe Divorced Widowed EWS General 9. Annual Family Income EWS. 10. Course Name. 11. Phone with STD code. Mobile Number. 12. Email address. Annual Family Income EWS. 10. Course Name. 11. Phone with STD code. Mobile Number. 12. Email address. 13. Permanent Address. 14. Correspondence address. 15. Student s bank account details 16. 13. Permanent Address. 14. Correspondence address. 15. Student s bank account details 16. Educational Qualification 17. Highest educational Qualification 18. Experience in year if any. Educational Qualification 17. Highest educational Qualification 18. Experience in year if any. 19. Identification details. I certify that the above information is true to the best of my knowledge. 19. Identification details. I certify that the above information is true to the best of my knowledge. Date / Signature Encl* Attested copies of Qualification certificates Category certificate Income certificate. Date / Signature Encl* Attested copies of Qualification certificates Category certificate Income certificate. Srinagar Office SIDCO Electronics Complex Old Airport Road Rangreth Srinagar Phone 0194-2300502 2300805 Fax 0194-2300949 Jammu Office New Campus University of Jammu Dr. Name Attested Photograph 2. Father s name 3. Mother s name 4. Details of Aadhar card Male 5. Gender 6. Date of Birth Single other Tick dd-mm-yy 7. Marital status Female 8. Category Schedule Caste Married Schedule Tribe Divorced Widowed EWS General 9. Annual Family Income EWS. 10. Course Name. 11. Phone with STD code. Mobile Number. 12. Email address.