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Registration Form
Please fill your details .
Student Name
Student Occupation
Father’s Name
Father’s Occupation
Father’s Organisation Name
Mother’s Name
DOB
/
DD
/
MM
/
YYYY
Gender
Male
Female
Academic Qualification
Art
Commerce
Sceience
Previous Computer Knowledge & Technical Acquired From :
Year
Institute
Course Details
Windows
MS-Office
Tally
Programming
Any Other
Work Experience :
Year
Company
Job
Duration
Salary
1
2
3
How did you come to know about Center ?
Paper Ad
Banner
Hoardings
Friends/Relative
Hand Bill
Roadshow
Seminar
Others
Interested for Job
Yes
No
Slot Preference Day
Mon
Tue
Wed
Thu
Fri
Sat
Slot Preference Time
8 To 9
9 To 10
10 To 11
11 To 12
12 To 1
1 To 2
2 To 3
3 To 4
4 To 5
5 To 6
6 To 7
7 To 8
Other
Sat
Matrial Status
Married
Unmarried
Contact
Category
OBC
GENERAL
ST
SC
OTHER
Address
Street Address
Course Details For
Rating of Enquiry
A
B
C
D
Education
Below 10th
10th
12th
12+ITI
Polytechnic Diploma
Graduation Or Higher
Remark of Counsellor