Select Course Applicant Name: Father's / Husband's Name: Date of Birth (dd/mm/yyyy): Select Category General OBC SC ST Gender: Pincode: Exam Passed Branch / Trade % of Marks Issuing Authority Year of Passing ACADEMIC / TECHNICAL QUALIFICATIONS (B.E. / DIPLOMA / NTC / NAC / B.Sc., etc.) EXPERIENCE (Including present job) Employer Designation Nature of Job From Till PARTICULARS OF INDIAN POSTAL ORDER (IPO) / DEMAND DRAFT (DD) ATTACHED Mobile / Phone No.: EMail ID: IPO / DD No. Date (dd/mm/yyyy) Post Office / Bank Place Amount in Rs. Select Source of Information Newspapers Employment News Website Friends Others Source of Information: How do you know ATI? Sponsored Need Hostel ATI Chennai Course Application Form Generator Registration fee IPO/DD drawn in favour of DDO, ATI, Chennai Select State Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Course (Remove Filter): City: Mailing Address: Category: Person with Disability: PWD Pay Mode IPO DD Male Female Other Blue border fields are required for submission

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