Welcome To AWDI

05-Oct-2024

Online Application Form

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Admission Info

Course:

Hostel Required:

Yes No *

Personal Info

Full Name:

------ Surname* ---------------- First name*------------------ Middle name --------

Gender:

Male Female *

Date of Birth:

Blood Group:

Contact Address:

Permanent Address:

Pincode

Phone

Nationality:

Category:

Mother Tongue:

Religion:

Place of Birth

State of Birth

Email ID

Father's Husband's Name *

Mother's Name:

Photograph:

(File type: .gif, .jpg )

N.B. : Please upload only passport size photograph removing extra white spaces.

Academic Qualifications

University Registration No:
(For Sambalpur University Students)

Details of Training / Work Experience

Note:
Fields with * symbol are mandatory fields...
Fields with # symbol are recomended fields...