Youth Computer Training Centres

Name*

Father's Name*

Mother's Name*

Course*

Gender*
Male Female

Date of Birth*

Category*

Age as on 01-01-2026*

Minority Category (if applicable)

Address*

City*

District*

State*

Mobile No 1*

Mobile No 2 (if any)

Email Id* (Login Id)

Password*

Educational Qualification :

Name of Exam.	Year Passing	% of Marks
Madhyamik/10th
Higher Secondary/ 10+2
Graduation
Post Graduation
Others

If Employeed (put the details)

Aadhar Enrolment No

Aadhar No

Specify Experience (if any)

Upload Photo (jpg/jpeg/png) Size Limit: 500KB

DECLARATION BY THE APPLICANT

I hereby declare that the particulars furnished above are true to the best of my knowledge and brief 1 shat abide by the regulation of the institute. I have read the prospectus and agreed with its terms and conditions.

APPLY COURSE

PLEASE FILL THE FORM

Educational Qualification :

DECLARATION BY THE APPLICANT