MSM ITI - MAR SEVERIOS MEMORIAL (PVT) INDUSTRIAL TRAINING INSTITUTE, PIRAVOM

Application Form

Name of Applicant (In Block Letters)

Aadhar Number

Age & Date of Birth

Gender

Nationality

Religion and Caste

Community

Permanent Address

Present Address

Parent's Phone No.

Name of Father

Name of Mother

Email ID ( Student)

Phone Number ( Student)

Occupation of Parent

Qualification

SSLC

Plus Two

Degree

Other

Plase fill your SSLC mark/grade below

SL No.	Subject	Mark/Grade
1	First Language Paper 1
2	First Language Paper 2
3	Second Language English
4	Third Language Hindi/General Knowledge
5	Physics

SL No.	Subject	Mark/Grade
6	Chemistry
7	Biology
8	Social Science
9	Mathematics
10	IT

Select the Courses in order of Preference*
Eg: If you prefer to join Electrician course, followed by Electronics Mechanics and then fitter, write: 1. Electrician, 2. Electronics Mechanic, 3. Fitter.

Select Course Preference 1

Select Course Preference 2

Select Course Preference 3

Select Course Preference 4

Select Course Preference 5

Select Course Preference 6

സത്യപ്രസ്താവന

മുകളിൽ പറഞ്ഞിട്ടുള്ള എല്ലാ കാര്യങ്ങളും സത്യമാണെന്നും ഐ.ടി.ഐ യിലെ എല്ലാ നിയമങ്ങളും അനുസരിച്ചുകൊള്ളാമെന്നും യാതൊരു അച്ചടക്കലംഘന പ്രവർത്തനങ്ങളിലും ഏർപെടുകയില്ലെന്നും ഞാൻ ഉറപ്പു തരുന്നു. ഇതിനു വിരുദ്ധമായി പ്രവർത്തിച്ചാൽ, മുന്നറിയിപ്പ് കൂടാതെ എന്നെ പിരിച്ചു വിടുന്നതിന് ഞാൻ പൂർണമായി സമ്മതിച്ചിരിക്കുന്നു.

DOCUMENTS TO BE SUBMITTED AT THE TIME OF ADMISSION

Original Certificate of SSLC
Transfer Certificate and Conduct Certificate from the Institution last attended
Caste Certificate (SC/ST Candidates )
Copy of Birth Certificate (CBSE, ICSE & ISC Students)

Nativity Certificate (CBSE, ICSE & ISC Students)
Passport Size Photo (2nos)
Copy of Aadhar Card

Note:

The SSLC Certificate will be returned only after completing the course. So, keep photo copy of the certificate before submitting it at the office.

Application Form

Application Form

Plase fill your SSLC mark/grade below

Select the Courses in order of Preference*
Eg: If you prefer to join Electrician course, followed by Electronics Mechanics and then fitter, write: 1. Electrician, 2. Electronics Mechanic, 3. Fitter.

സത്യപ്രസ്താവന

DOCUMENTS TO BE SUBMITTED AT THE TIME OF ADMISSION

Note:

Quick Links

Our Courses

Contact Us

Application Form

Application Form

Plase fill your SSLC mark/grade below

Select the Courses in order of Preference* Eg: If you prefer to join Electrician course, followed by Electronics Mechanics and then fitter, write: 1. Electrician, 2. Electronics Mechanic, 3. Fitter.

സത്യപ്രസ്താവന

DOCUMENTS TO BE SUBMITTED AT THE TIME OF ADMISSION

Note:

Quick Links

Our Courses

Contact Us

Select the Courses in order of Preference*
Eg: If you prefer to join Electrician course, followed by Electronics Mechanics and then fitter, write: 1. Electrician, 2. Electronics Mechanic, 3. Fitter.