Mon-Fri 10am-5pm

dirins.asi@gmail.com

+91 120 233 3125

Mon-Fri 10am-5pm

dirins.asi@gmail.com

+91 120 233 3125

Application Form

Batch - 2026

Personal Details

Full Name (As per certificate) *

Please enter your full name

Gender *

Mother's Name *

Please enter mother's name

Father's Name *

Please enter father's name

Whether Claiming Age Relaxation *

Yes

No

Please select whether you are claiming age relaxation

Category *

Date of Birth (DD/MM/YYYY) *

Please select date of birth

Aadhar Number *

Please enter a valid 12-digit Aadhar number

Email Address *

Please enter a valid email address

Phone Number with WhatsApp *

Please enter a valid 10-digit mobile number

Address Details

Same as Permanent Address

Permanent Address

Address *

State *

District *

PIN Code *

Mailing Address

Address *

State *

District *

PIN Code *

Education Qualification Details

Level	Examination	Board/University	Year of Passing	Division	% of Marks	Subject
HIGH SCHOOL *
INTERMEDIATE
GRADUATION
M.A. *
Other (if any)

Research Experience List of Publications to be Attached (Optional)

Topic	Publisher	Date	ISBN

Field Experience if any (Optional)

Organization	Duration	Position	From	To

Photograph & Signature (Maximum 100 KB each)

Upload Photograph *

Click to upload photo (JPEG/JPG)

Maximum 100 KB

Upload Signature *

Click to upload signature (JPEG/JPG)

Maximum 100 KB

Document Upload (Maximum 2 MB each)

Aadhar Card *

Click to upload Aadhar card

PDF, JPG, JPEG, PNG (Max 2 MB)

Caste Certificate *

Click to upload certificate

PDF, JPG, JPEG, PNG (Max 2 MB)

Bachelor Certificate *

Click to upload certificate

PDF, JPG, JPEG, PNG (Max 2 MB)

Master Certificate *

Click to upload certificate

PDF, JPG, JPEG, PNG (Max 2 MB)

Age Certificate *

Click to upload certificate

PDF, JPG, JPEG, PNG (Max 2 MB)

Other/Miscellaneous Certificate (Optional)

Click to upload certificate

PDF, JPG, JPEG, PNG (Max 2 MB)

Declaration / घोषणा

I do hereby declare that:

The particulars furnished by me above are correct to the best of my knowledge. I also undertake to abide by the rules and regulations of the Institute.
I am not pursuing any other regular Degree or Diploma course.
I am not receiving any scholarship/fellowship.

AGREE / मैं सहमत हूँ *