Online Registration Form
Applicant's Personal Details:
Full Name
*
First Name
Middle Name
Last Name
Guardian's Name
Gender
*
Male
Female
Other
Date of Birth
*
-
Day
-
Month
Year
Category
*
General
SC
ST
OBC
Physically Handicapped
Contact Details:
Phone No. with STD
-
Area Code
Phone Number
Mobile No.
*
Email Address
*
[email protected]
Permanent Address Details:
Address Line 1
*
Address Line 2
Address Line 3
City Name
District
*
State
*
PIN Code
*
Correspondence Details:
Same as Permanent Address
Address Line 1
*
Address Line 2
Address Line 3
City Name
District
*
State
*
PIN Code
*
Educational Qualification Details
Highest Qualification Details
*
Qualifying Year
Identification Details:
Upload Address Proof
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Upload Recent Photo
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Upload Signature
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Registration Details:
Opted Course
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--- Select Course ---
Mobile Application Development (MAD)
Oracle Database Maintenance (ODM)
Python Programming (PP)
RHCE (RHCE)
CCNA (CCNA)
Advanced Excel (AE)
C & C++ Programming (CCPP)
Core Java Programming (CJP)
Web Development using PHP Technology (WDPHPT)
Web Development using Dot Net Technology (WDDNT)
Please verify that you are human
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I hereby declare that all statements made in the application are true, complete and correct to the best of my knowledge and belief