Registration Form - 6 Months Course

Full Name *
Father's/Husband Name *
User Name * Containing only small letters
(a-z and 0-9) without special chars.
Lenght between 6 to 10
Upload Image * (Max Size: 500KB
Passport Size(jpg/png) Only)
Password * Containing atleast one lower,
one upper, one digit and one special char from
set @#-_$%^&+=ยง!?
Lenght between 6 to 20
Confirm Password *
e-Mail ID * Residential Address *
Contact No. * Mobile No.
Profession * Qualification *
Organization Name IT Background
College Name * Stream
Duration 6 Months Course Name *
Registration Fee CAPTCHA Image
Code is not a case Sensitive *
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