National Skill Development government of india

REGISTRATION FORM Form No. ........................

YUGANTAR COMPUTER ACADEMY

Session : Day Month Year

ALL Information to be in CAPITAL Letters only using blue ball pen

*Complete Name of the Applicant:

*Name of the Father / Husband:

Occupations:

Permanent Address:

Pin No. :

Phone No.:

Nationality :

Date of Birth:

Sex:

M/F

Qualification:

Sl. No.

Exam

Year

Board/University

School/College

Marks (%)

*Course Name:

Course Code:

*Mandetory Field

Declaration:-- I hereby declare that all the informations stated in this application form are true to the best of my knowledge.As I have followed the prospectus carefully and understood all the rules and regulations agree to abide by them.

Place: Date: Full Signature of Applicant