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SECTION-1
KELTRON INTERNSHIP PROGRAMME - REGISTRATION
(For Professional Course Students)
(All fields are mandatory)
1. Student Details
Choose Organization
Centre for Continuing Education Kerala (CCEK)
NSDC Healthcare Program
Professional Course Register Number
Name of Student
Gender
Male
Female
Mobile Number.
Confirm Mobile Number
Email ID
State
--Select District--
Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhatisgarh
Chhattisgarh
Dadra & Nagar
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshdweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
--Select District--
Alappuzha
Ernakulam
Idukki
Kannur
Kasaragod
Kollam
Kottayam
Kozhikode
Malappuram
Palakkad
Pathanamthitta
Thiruvananthapuram
Thrissur
Wayanad
Date of Birth
Year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2. Training Centre & Professional Course Details
Name of your Training Centre
Location of the Training Centre
State
--Select State--
Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhatisgarh
Chhattisgarh
Dadra & Nagar
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshdweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District of Training Centre
--Select District--
Alappuzha
Ernakulam
Idukki
Kannur
Kasaragod
Kollam
Kottayam
Kozhikode
Malappuram
Palakkad
Pathanamthitta
Thiruvananthapuram
Thrissur
Wayanad
Professional Course Name
3. Your Preferred Details for Attending the Internship at Your Convenience
Preferred Skill Sector for Internship
Preferred Skill Sector
Aerospace and Aviation
Automobile
Banking & Non Banking
Civil
Electrical
Electronics
Instrumentation
IT & ITeS
Logistics
Mechanical
Media & Entertainment
Renewable Energy
Sports
Sub Domain
Sub-Domain
4. Security Code
Scan UPI QR Code
After payment you have to enter the transaction details ( UPI ID/UTR ) in the respective columns of Section II
Enter Security Code