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Registraion Form

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Registraion Form

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Student Detail

Passport Size
Image

College Name: _____________________________________

Course & Year: Branch:_____

Student Name: _______________ Date of Birth: //

Mobile No.: Email ID: _______

Father’s Name: _ Father’s Contact No.: _

Father Occupation: ____________________________________________________

Address: _____________________________________________________________

City: _________________ State: _ Zip: ___

Interested Area Interested Languages

 Software Development  PHP
 Software Testing  Java
 Web Development  Python
 Database (DBA)  C & C++
 Digital Marketing/SEO  Dot. Net
 Web Designer  HTML & CSS
 Android Development  Digital Marketing
 Other  Other

Write your skills: ______________________________________________________

_____________________________________________________________________
_____________________________________________________________________

Date: _____________ Student Signature

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