B.N Roy Institute of Teacher Training and Education

Course Category/ Academy*

Course*

Batch*

Session*

Name*

Email-ID*

Mobile No*

Date of Birth*

Mother Name

Father Name

Parent Occupation*

Medium*

Address for Communication

Pincode

Country

State*

City*

Gender*

Martial Status*

Nationality*

Mother Tongue*

Religion*

Community*

Educational Qualification
Qualification	Reg No.	Subject	Name of the Board/University	Year of Completion	Percentage of Marks

Submit Documents
Sr No	Document Name	Upload Document (File Size must be less than 2MB)
1	Passport Size Photo Graph
2	10th Mark sheet
3	12th Mark sheet
4	Graduation Mark sheet
5	Diploma Certificate
6	Upload Aadhar Card