Course Applied Select CourseCertificate In Computer LearningCertificate In Computer ApplicationDiploma In Computer ApplicationAdvance Diploma In Computer ApplicationDiploma In Computer ProgrammingDiploma In Advance Programming
Name of the Student
Date of Birth Gender MaleFemale Occupation Select Your OccupationStudentBusinessServiceHouse WifeSelf Employed Marital Status MarriedUn-married Student’s Mobile No. E-mai Father’s/ Husband’s Name Guardian Occupation Mobile No. E-mail Mother’s Name Occupation Mobile No. E-mail Category SCSTOBCSBCGeneralMinority Postal Address
City District Select DistrictAlipurduarBankuraPaschim BardhamanPurba BardhamanBirbhumCooch BeharDarjeelingDakshin DinajpurHooghlyHowrahJalpaiguriJhargramKolkataKalimpongMaldaPaschim MedinipurPurba MedinipurMurshidabadNadiaNorth 24 ParganasSouth 24 ParganasPuruliaUttar Dinajpur State Select StateWest Bengal Pin Postal and permant address if same Postal & permant address same
Permanent Address City District Select DistrictAlipurduarBankuraPaschim BardhamanPurba BardhamanBirbhumCooch BeharDarjeelingDakshin DinajpurHooghlyHowrahJalpaiguriJhargramKolkataKalimpongMaldaPaschim MedinipurPurba MedinipurMurshidabadNadiaNorth 24 ParganasSouth 24 ParganasPuruliaUttar Dinajpur State Select StateWest Bengal Pin
Local Guardian’s Name Mobile No.
Academic Qualifications Select QualificationClass 10Class 10+2GraduationOthers University/Board Year of passing
Division
Passport Size Photo.(jpg | jpeg | png)
