Select Course Certificate in Fire Fighting Certificate in Fire Technology and Industrial Safety Certificate in Fireman Diploma in Fire Technology and Industrial Safety Select Awarding Body National Skill Development Corporation Shri Vishwakarma Skill University Medhavi Skill University CTR Ludhiana Name Father Name Email Phone Number Whatsapp Number Date of Birth Gender Male Female Other Category General OBC SC/ST Other Aadhar Number Upload Aadhar Card (Both Sides) (Max File Size Accepted - 5 MB) 10th Class Board Name Percentage Marks Obtained (10th Class) Upload 10th Marksheet (Max File Size - 5MB) 12th Class Board Name Percentage Marks Obtained (12th Class) Upload 12th Marksheet (Max File Size - 5MB) UG Course Name UG University Name Percentage Marks Obtained (UG) Upload UG Marksheet and Degree Upload Passport Size Photo Upload Signature I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief In the event of suppression or distortion of any fact in my application form. I understand that I will be denied or suspended from the course without any refundable fee in case of any discrepancy found or any misbehaviour done by me. Submit Your Application Form With Fee
