FIRST NAME *MIDDLE NAMELAST NAME *Father's Name *Mother's Name *Course applying for :CITACDTACFASDITADDTADFASCDTPDDTPCCADDMACCHMDCHMCCCT (Typing)ADFASADDTPADITACCSTCWDCBMGender *GenderMaleFemaleDate of Birth *Category *CategoryGenSCSTOBCHumanityAge as on 01-01-2026Minority Category (if applicable)VILLAGE/CITY *PSDistrict *Postal Code *Email AddressMobile No1 *Mobile No2SessionSessionJAN-JUNEJULY-DECAPRL- SEPTOCT- MAROFFICE USEif Employed (put the details)Qualification SummaryMadhyamik/ 10thHigher Secondary/ 10+2GraduationPost GraduationOthersYear% of MarksYear% of MarksYear% of MarksYear% of MarksDate of AdmissionColour PhotographChoose FileNo file chosenDelete uploaded fileAadhaar Enrolment NoAadhaar Card NoSpecify experience (in any)Declaration : *I do hereby declare that the particulars furnished above are true to the best of my knowledge & belief , I declare that I will abide by the rules & regulations of the Youth Computer Training Centre & I will be bound to accept the punitive measures incumbent of any kind of violation of the rules.(Father/Gurdian's Signature)Choose FileNo file chosenDelete uploaded fileAs in Madhyamik Admit CardStudent SignatureChoose FileNo file chosenDelete uploaded filecourse onAdmissionAdmissionRe-AdmissionLateralSUBMIT YOUR FORM
