SuryaMitra Application Form

AADHAAR Number

(As per SSC Certificate)

Candidate Name

Father's Name

Mother's Name

Qualification (ITI/Diploma or Other qualification Certificate scan to be uploaded as proof.)
ITIDiplomaOthers

Category
—Please choose an option—SCSTOBCGen.
SC/ST/OBC/Gen

Permanent Address

Pin Code

Contact Number

10-Digit Mobile Number only

Email ID

Upload Photo

Upload passport size photo of less than 250kb size, width 3.5 x height 4.5 cm dimensions in either .jpg/.jpeg/.png format.

Upload Class X Marks Certificate

Upload passport size photo of less than 2mb size in either .pdf/.jpg/.jpeg/.png format.

Upload AADHAAR Scan

Upload AADHAAR Scan of less than 2mb size in either .pdf/.jpg/.jpeg/.png format.

Upload scan of ITI/Diploma/Other Certificate

Upload scan of certificate of qualifications less than 2mb size in either .pdf/.jpg/.jpeg/.png format.