Skill Development Program Registration Pragathy PCB

Your Name *

Guardian / Parent Name *

Your Email *

Your Mobile number *

Gender *

Age *

Do you belong to Scheduled Tribe *

Sub caste *

Annual Income in Lakhs

Qualification *

Subject Area *

Specialisation *

Specialization (If Others)

Percentage of marks in Degree *

Percentage of marks in 12th *

Percentage of Marks 10th *

District *

Address *

Select Your Courses ( Select all that applies ) *

I agree that all the information furnished above are true to the best of my knowledge. I will be willing the share necessary documentary evidences / proof for the information furnished above, to the competent authorities, at the time of selection process