Registration Form

Advance IT Skill Training Program - 2022

Registration Form

Course Details

Institution Name *

Course Name *

Personal Details

Upload Photo *( Max file size is 1MB, Minimum dimension: 270x210 And Suitable files are .jpg & .png )

Student ID * Please Enter the ID !

Student Name * Please Enter the Name ! only characters allowed

Father's Name * Please Enter the Father Name ! only characters allowed

Mother's Name * Please Enter the Mother Name ! only characters allowed

Name of Father's Profession * Please Enter the Father's Profession only characters allowed

Name of Mother's Profession * Please Enter the Mother's Profession only characters allowed

Total Number of Members In Your Family (Excluding You) * Please Enter the Total Member

Total Number of Earning Members In Your Family (Excluding You) * Please Enter the Total Earning Member

Date Of Birth *

Gender * Please Select Gender !

Martial Status * Please Select Martial Status !

Aadhar Number *

Community * Please Select Community !

Other Community * only characters allowed

Religion * Please Enter Religion !

Physically Challenged * Please Select Physically Challenged !

Family Annual Income * Please Select Family Income !

Year of Passout * Please Select Year of Passout

Current Degree * Please select degree !

Current Course * Please select course !

Contact Details

Email-id * Please Enter the Email Address ! Enter a valid email id!

Mobile Number * Please Enter the Mobile Number !

Alternet Mobile Number *

Mother Tongue * Enter the Mother Tongue

Address for Communication

Door No / Flat / Street * Please Enter Door No / Flat / Street

Area / Location * Please Enter Area / Location

State *

District *

City * Please Enter the city !

Pin Code * Please Enter the area pincode !

School Educational Details

Class	Name and Location of the Institution	Group	Year of Passing	Marks (%)
SSLC *	Please enter the institution !		Please enter the year of passing ! Please enter should in numeric digits!	Please enter the SSLC Marks ! Please enter should in numeric digits!
HSC *			Please enter should in numeric digits!	Please enter should in numeric digits!

College Educational Details of UG / PG

Graduation	Name & Location of the Institution	Degree	Department	Year of Completion	Total Marks (%) / CGPA
UG	Enter the UG Institution !	Please Select Degree !	Please Select Department !	Please Select Year of Completion!	Enter the UG Marks ! Please enter should in numeric digits!
PG
Others

UG / PG Project Details

Title of Final Year Project During Under Graduation * Please Enter Project Title

Name of Zone (Where Your Current College Is Located) * Please Enter the Current Zone

Written English Proficiency Rating (1 is lowest & 10 is highest) * Please Enter the Proficiency Rating

Spoken English Proficiency Rating (1 is lowest & 10 is hhesigt) *

MS-Office Proficiency Rating (1 is lowest & 10 is highest) *

Extra-Curricular Activities *

Already Received An Offer From A Company * Please Select Anyone

If Yes, Name of the Company Selected RequiredFieldValidator

CTC of Offer Received *

Are you willing to attend the Virtual Campus Drive with Inspirisys * Please Select Anyone

Going for Higher Studies * Please Select Anyone

Preferred Location * Please Select Location

Screening Status * Please Enter the Screening Status

Date Of Join *

Declaration

I declare that all the above details are true to the best of my knowledge. I intend to attend the scheduled training classes and would participate in all the events conducted as part of the Training program.

Please check the declaration to continue

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