Student Registration

Mahatma Jyotiba Phule Research and Training Institute (Mahajyoti)

(Autonomous organization of Other Backward Classes Welfare Department, Government of Maharashtra)

Student Details

First Name:*

Middle Name:

Last Name:*

Your email *

Date of birth *

Category *

Contact 1 * Contact 2

Whether physically handicapped? * YesNo

Mother's Name*

Your Address*

10th Details

School Name*

Marks in %*

Year of passing*

12th Details

College Name*

Marks in %*

Year of passing*

Graduation

University Name

Marks in %

Year of passing

Post Graduation

University Name

Marks in %

Year of passing

Have you previously availed benefits of the same training? If yes, please provide the details.

10th Marksheet/Degree*

12th Marksheet/Degree*

Graduate Marksheet/Degree*

School Leaving Certificate*

Address Proof*

Identity Proof*

PH certificate (if applicable)

Place*

Signature(upload here)*

Yes, I have Understood all terms and conditions of admission to the course at AEG Academy under BARTI sponsered program.