admin | Admission Application Form - Centre for IT Education 2024

ONLINE REGISTRATION FORM

First Name *

Middle Name

Last Name

Email Id *

Mobile No *

Whats App No

Aadhaar No *

Date of Birth *

Category *

Nationality *

Religion *

Mother Tongue *

Blood Group *

Gender *

Male Female Transgender

Parents Details:

Father's Name *

Father's Qualification

Father's Occupation

Mother's Name *

Mother's Qualification

Mother's Occupation

Parents Mobile No. *

Emergency/Guardian Contact:

Full Name *

Contact No *

Relationship with you in case of emergency contact *

Address

Address for Correspondence:

Present Address:

Country *

Address 1 *

Address 2

City *

State *

PIN Code *

Permanent Address :

Country

Address 1 *

Address 2

City *

State *

PIN code *

Educational Qualification :

High School Certificate/10^th Standard Exams:

Board/University Name *

Name of the School/Institute *

Year of passing *

Division/Grade *

Total Marks *

Marks Secured *

Percentage of Mark *

+2 / Higher Secondary / Equivalent :

Board/University/SCTE & VT Name *

Name of the School/College/Institute *

Stream *

Division/Grade *

Year of Passing *

Total Marks *

Marks Secured *

Percentage of Mark *

Graduation:

Board/University Name *

Name of the College/Institute *

Stream *

Result Declared*

Year of Passing *

Total Marks *

Marks Secured *

Percentage of Mark *

Division/Grade *

Year of Passing *

CGPA Mark

Post Graduation:

Board/University Name

Name of the College/Institute

Stream

Result Declared

Year of Passing/Appearing

Total Marks

Marks Secured

Percentage of Mark

Division/Grade

Work Experience:

Whether Employed or not? *

If yes, NOC from the appointing Authority for continuing education to be submitted during Admission.

Upload Details:

Photo *

Signature *

Aadhaar Card Front *

+10^th Marksheets *

+2 Marksheets*

Graduation Marksheets