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<HEAD>


<META NAME="description" CONTENT="Diploma & Degree programs in Automobile Engineering, Distance programs in Engineering, Engineering for working professional, Institute of Motor Industry (India), Chennai, Automobile Engineering in Jamshedpur & Balasore">
<META NAME="Keywords"    CONTENT="Diploma & Degree programs in Automobile Engineering, Distance programs in Engineering, Engineering for working professional, Institute of Motor Industry (India), Chennai, Automobile Engineering in Jamshedpur & Balasore">


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<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
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<!--<BASE HREF="http://d19683750.w158.websuvidha.com/form.html">-->
<TITLE>ON LINE APPLICATION FORM</TITLE></head>
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LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

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<TABLE DIR="LTR" WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#C3C5CA"> 
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                                                                                                <a href="index.html" onMouseOver="document.images['img78'].src='widgets/gen_1209.1.gif'" onMouseOut="document.images['img78'].src='widgets/gen_1208.1.gif'"><img src="widgets/gen_1208.1.gif" alt="Welcome" name="img78" border="0"></a><br>
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<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="ON LINE APPLICATION FORM">
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<input type="hidden" name="email" value="info@bienr.org">
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        <TD>
        <TABLE border="0" cellpadding="5" cellspacing="5" width="100%">
        <TR><TD colspan=2>&nbsp;</td></TR>
        <input type="hidden" name="name_48" value="Please Fill DIPLOMA / Lateral DIPLOMA / Degree (for Diploma Holders only)">
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Please Fill DIPLOMA / Lateral DIPLOMA / Degree (for Diploma Holders only)

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<font face='Arial' size='2' color='#000000'>

Full Name in Capital Block Letter

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<font face='Arial' size='2' color='#000000'>

Father's Name

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Correspondence Address

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Contact Number (with Code)

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Educational qualification (Details mentioning year of passing & percentage)

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Work Experience if any (only for working professionals)

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Category (mention "Girls", SC, ST, Ex-Serviceman Candidates)

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<font face='Arial' size='2' color='#000000'>

Date of Birth

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Gender - Male / Female

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Nationality

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E-mail

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                                                                </TD>
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                                        </TD>
                                </TR>
                                <TR>
                                        <TD WIDTH=100% VALIGN="top" BGCOLOR="#326DAF"> 
                                                <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top"> 
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                                                                <TD WIDTH=100% HEIGHT=3  VALIGN="top" BGCOLOR="#C3C5CA">
                                                                        

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="Home.html">Home</A>|</nobr>

<nobr>|<a href="About us.html">About us</A>|</nobr>

<nobr>|<a href="Diploma.html">Diploma</A>|</nobr>

<nobr>|<a href="Degree.html">Degree</A>|</nobr>

<nobr>|<a href="Download.html">Download</A>|</nobr>

<nobr>|ON-LINE FORM|</nobr>

<nobr>|<a href="Result.html">Result</A>|</nobr>

<nobr>|<a href="certificate.html">Certificate Course</A>|</nobr>

<nobr>|<a href="career.html">Career</A>|</nobr>

<nobr>|<a href="working.html">WORKING</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>

<nobr>|<a href="RTI.html">RTI Act</A>|</nobr>
</center>
</font>

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<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<a href="http://www.psoft.net" target="_blank"><img src="widgets/ss_button.gif" border="0"></a>

<br>
<font face="helvetica,verdana, arial" size="1">© Copyright 2005-2008 Bharat InfoTech Pvt. Ltd. All rights reserved.</font>

</td></tr></table></center>
</TD>
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                                                                <TD WIDTH=16 HEIGHT=14 VALIGN="top" BGCOLOR="#C3C5CA">
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                <TD WIDTH=50% HEIGHT=100% VALIGN="top" BGCOLOR="#FFFFFF"> 
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
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                                        <TD COLSPAN="2" WIDTH=100% HEIGHT=101 VALIGN="top" BACKGROUND="widgets/gen_967.1.gif">
                                              <IMG SRC="widgets/gen_966.1.gif" WIDTH=36 HEIGHT=101 ALT=""></TD>
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