Venue

Ashram Road, New Barganda, Giridih

Mob No. - 8579084679, 9934380304 Passport size
E-Mail- jdiitgrd@gmail.com Photograph

FORM NO:-
DATE:-

Name………………………………………..………………………….…
Father’s Name……………………………………...……….………..
Date of Birth…………………………………..……………………….
Address…………………………….…………………………………….
…………………………………………………….………………………...
Qualification………………………………..………………………….
Category…………………………………………………..……………..
Mobile No. (Personal)…………………………………….……….
Mobile No. (Guardian)…………………………….………………
Your Choice :-(BCC, CCA, DCA, TALLY & DTP, DTP, DCA with TALLY, ADCA, CS)…………………….…

SIGNATURE Signature of the Candidate

DIRECTOR (JDIIT)