Admission Form

Thanks for registering with Jyomit Computer Centre! It's free and a simple process.

Admission Form
1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Department (विभाग) *	--Select-- Basic Nielit Courses Spoken English Courses Acadmic Courses Beautician Sewing Hardware and Networking Repair   This value is required.
Course Applied for (पाठ्यक्रम के लिए आवेदन) *	This value is required.
Course Medium (कोर्स का माध्यम) *	--Select-- Hindi English   This value is required.
Applicant's full name / आवेदक का पूरा नाम *	This value is required. ( Full name as per the highest / latest qualification certificate or legal certificate )
Father's Name / पिता का नाम *	This value is required. ( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *	This value is required. ( Full Name As Per Educational/Legal Certificate )
Date of Birth / जन्म दिनांक * (mm-dd-yyyy)	This value is required. ( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
Mobile No. (मोबाइल नंबर)*	This value is required.
Email ID (ईमेल आईडी)*
Address Line 1 (स्थाई पता)*	This value is required.
Country (देश)*	This value is required.
State (राज्य)*	This value is required.
District (जिला)*	This value is required.
Aadhar Enrollment No./Aadhar No. (आधार नामांकन संख्या)*	This value is required.
Gender (लिंग) *	--Select-- Male Female Other This value is required.
Religion (धर्म) *	--Select-- HIndu Muslim Sikh Isai This value is required.
Category (वर्ग) *	--Select-- OBC SC GEN ST This value is required.
Nationality (राष्ट्रीयता) *	--Select-- Indian Other This value is required.
Applied For (आवेदन) *	This value is required.
Passport Photo *	This value is required.
Signture *
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