APPLICATION FOR ADMISSION TO COMPUTER COURSES

  
         

1

   Name of Course Minimum Qualification Duration Registration Fee
CAUTION: Do not send any money now!
Pay only after you get the selection memo.
  Fees Scholarship Net Amount Payable
 

2

Name of Applicant

Initials

                                         
3

 

Date of Birth

  
Year-

. . . .

 Month

         

Date  

Sun Mon Tue Wed Thu Fri Sat
     
4 Gender    Female Male       
5 House Name/House Number      
6 Road/Street      
7 Place/Village      
8 Post Office      
9 District      
10 PIN Code (Eg. 695005)      
11 Phone Number (at least a contact No.)      
12 Email id      
13 Parent's Name      
14 Religion (optional)         
15 Caste (optional)      
16 Educational Qualifications      
  Category
General OBC SC
Others   ST
     

17

In which Authorized Training Centre do you wish to join for studies?
   

             
 

 
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