Board of Practical Training, (Eastern Region)

BOPT E-Governance Portal


Candidate Enrollment
Name of the Candidate				Middle Last
Fathers Name				Middle Last
Mothers Name				Middle Last
Date of birth				* Date Formate DD/MM/YYYY
Age
Sex				MaleFemale
Physically Handicapped				YesNo

Category
				E-Mail

Permanent Address Details				Present Address Details
Please use comma to seperate data for more than one entry of Address,phone,..etc
Address				Address
State				State
District				District
City				City
Pin Code No				Pin Code No
Mobile				Mobile

Phone No Please Enter the Phone No. with STD CODE(xxxx-xxxxxxx)				Phone No Please Enter the Phone No. with STD CODE(xxxx-xxxxxxx)

Educational Qualifications
Level
Discipline / Branch
Name Of The Institution
Name Of The University Board
Final Year Mark Sheet Serial No: (Please refer to the Marksheet for its serial Number)
Percentage(Eg. 87.20 or 63.28) (DGPA/CGPA is to be converted in to percentage as per your University Rules)
Result Date (This is the date of issue the Mark Sheet)				* Date Formate DD/MM/YYYY

Choices Of Cities
choice 1			choice 2			choice 3

Whether Sandwich Course student or not, State

YesNo

Whether you have already applied through institute

YesNo

User Id

Password

Retype the Password

DECLARATION

   I  hereby solemnly affirm and state as under:
   1.That I passed my Degree/Diploma/10+2 Vocational Higher Secondary Certificate Examination as mentioned above
2. That after passing the above said examination

Note : The Candidate is required to submit his attested marksheet (Statement of marks / Provisional Certificate of passing ) of the eligibility qualification to the placement cell <%=ApplicationConst.COMMON_PROJECTNAME %> ER.

I agreeDisagree

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