Registration Form (Basic First Aid Training for Driving Licence)
Personal  Details     
Candidate's Name*   Father/Husband Name*  
Date of Birth*         Gender*
Blood Group*   Education/Qualification :   
Contact  Details        
Address/Locality*   City/Town/Village :   
Tehsil/Post Office :    District*  
State*   PinCode*  
Mobile No.*   Email ID   :   
Upload  Photo       
  If Photo is not loaded in appropriate format, your application is liable to get rejected.
  Allowed Photo Size - 10KB to 100 KB File Type : *.jpeg, *.gif, *.png
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Security  Code        
Enter Security Code¬†*¬†:         
   I hereby declare that the information given in this application is true and correct to the best of my knowledge