Registration Form

Personal Information

Roll No
Applicant's Name	Required!	Care of	--Select-- Parents Guardian Required!
Father's Name	Required!	Mother's Name	Required!
Gender	--Select-- Male Female Required!	Date of Birth (mm/dd/yyyy)	Required!
Category	--Select-- General SC ST OBC Required!	Occupation	--Select-- Govt. Job Self Other Required!

Contact Details

Mobile	Required!	email	Required!
Address	Required!	State	--Select-- Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttarakhand Uttaranchal Uttar Pradesh West Bengal Required!
District	Required!	Pin	Required!

Educational Qualificaiton

Highest Qualification	--Select-- 10 12 Graduation of Higher Required!	Passing Year	Required!
Institute or College	Required!

Choose Center & Course

Choose Center

---Select --- Mayank Institute of Computer Science Govind Institute Global Institute Mayank Institute of Computer Science Jaiswal Computer Institute Required!

Choose Course

---Select --- Basic Computer Course (BCC) Course on Computer Concepts (CCC) COURSE ON COMPUTER CONCEPTS PLUS (CCC +) EXPERT COMPUTER COURSE (ECC) Certificate in Computer Accounting(CCA) Diploma in Computer Application (DCA) Advanced Diploma in Computer Application (ADCA) Diploma in Software Management(DISM) Advanced Office Management Accounts Manager Hardware Chip Level Networking Certificate in Computer(CIC) Tally ERP (6 Months) Diploma in Computer Applications (DCA) 1 Year web designing Computer Hardware English Typing Hindi Typing Tally - 9.0 (3 Months) Tally Prime Required!

Upload Photo & Signature

Upload Photo	Required Please select a valid png or jpeg file	Upload Signature	Required Please select a valid png or jpeg file
Upload Thumb Impresion (Left)	Required Please select a valid png or jpeg file