Central Board of Irrigation & Power
Malcha Marg, Chanakyapuri, New Delhi 1100021
Phone no: 01126115984,26116567,24102437
E-mail: cbip@cbip.org
Website: www.cbip.org
(Recognized as category-1 training Institute for providing training in the field of Hydro, Thermal, Transmission, Distribution and Power management by Ministry of Power, Government of India)

new

CBIP Achieves 100% Placement for 5th-Batch of 26 Weaks PGDC In T & D System

* Maximum Size of Photograph 30 kb
* Upload letest passport size Photograph

Application For Admisssion

All * fields are mandatory.( Please fill the Application carefully .)

Course Applied For* Please select Course

Personal Details

Name Of The Candidate (In Capital Letters)*	Please enter your name	Father's Name*	Please enter your Father name
Mother's Name		Gender*	Please select gender required field
Candidate's Date of Birth*	Please select DOB (ex: dd/mm/yyyy)	Age(No.Of Year Compleated On) (08/12/2014)*	Year

Basic Information

Blood Group
Marital Status
Nationality

Applicant Contact Details

E-Mail ID( Self)*	Enter Your EmailId	E-Mail ID (Any of Parent) Must
Land Line No(with STD code).		MobileNo*.	+91 Enter Your Mobile No	MobileNo(Any of Parent)*	+91 Enter Parents Mobile No
Persent Address
House No.*	Required	Road/Street/Area*	Required
City / Village / District*	Required	State/Union territory*	Required
Pin

Academic Qualification

Exam Passed	School/College	Board/University	Year of passing	% Marks (Aggregate)	Main Subjects
Matric / Class 10				Numeric only
12th / Diploma				Numeric only
Degree				Numeric only
Branch

Work Experience(Starting from the current)

Employer

Exp in months

From

Job Profile

Nature of Work (Max 200 Character)

Documents & Id Proof To Be Attached With The Hard Copy

Mark Sheet & Certificates Of Class X
Mark Sheet & Certificates Of Class XII
Mark Sheet & Certificates Of Diploma
Mark Sheet & Certificates Of B.Tech/BE
Mark Sheet & Certificates Of Sponsorship
Copy of Conversion Chart of CGPA to % of Marks issued by the University
Proof of Identity*	Please Select

Requirement :--

Whether Accomodation in Hostel is Required *	YES NO
Details Of Demand Draft*
Amount (Rs. 400/-)	Enter Numeric only
Bank & Branch Name
DD No.

Signature with date (after print out)

For Office Use Only

Enrolment No
Application Fee Received Vide Above Details	YES NO
Certificate Proof Attached :- Age Qualification Sponsorship % of Marks	YES YES YES YES	NO NO NO NO
Candidates Overall Eligibility	YES	NO
Draft Send To Account On Date

Instruction : After you Submit your Form, Press CTRL+P and Save/Print the Form as Pdf Format(PopUp Window)