Registration Form

Eligibility Criteria to Register

Participants will have to meet the following eligibility criteria to register for the program
  • Participant should have passed Class X in 2020 or later
  • Participant has dropped out from formal education
  • Participant is not enrolled into any other full time / part-time certification course or educational program
  • Participant can devote 18 months to go through classroom training
  • Participant is willing to pursue a career in IT sector and is committed to migrate to pursue the job opportunity
  • Participant has basic linguistic skills to read / write in English and local regional language

All fields are mandatory

Basic Details
Location of the centre
Please select valid centre location.
First Name
Please enter valid firstname.
Last Name
Please enter valid lastname.
Email Address
Please enter valid email.
Phone
Please enter valid mobile.
Gender
Please select gender.
Date of Birth
Please enter valid date of birth.
Current Address
Current Address
Please enter valid current address.
City
Please enter valid city.
State
Please select state.
Pincode
Please enter valid pincode.
Permanent Address

Same as current address

Permanent Address
Please enter valid permanent address.
City
Please enter valid city.
State
Please select state.
Pincode
Please enter valid pincode.
Education Qualifications
Current status
Please select current status.
Institute Name/Company Name
Please enter valid Institute name / company name.
Class X Board
Please select class x board.
Class X School
Please enter valid class x school name.
Class X Year of passing
Please select class x year of passing.
Class X Percentage
Please enter valid class x percentage.
Family Details
Father’s First Name
Please enter valid father's first name.
Father’s Last Name
Please enter valid father's last name.
Father’s Age
Please select father's age.
Father’s Occupation
Please enter valid father's occupation.
Mother’s First Name
Please enter valid mother's first name.
Mother’s Last Name
Please enter valid mother's last name.
Mother’s Age
Please select mother's age.
Mother’s Occupation
Please enter mother's occupation.
Number of Siblings
Please enter valid no of siblings.
Family's Annual Income
Please select annual family income.
Other information
Will you be able to make a commitment of 18 months to complete the program?
Yes    No
Please select yes or no.
Have you operated a computer?
Yes    No
Please select yes or no.
Rate yourself on English Proficiency? Scale 1 to 10. 1-Low, 10-High
Please enter valid proficiency rating.
How did you get to know about the program?
Please select any option.
Declaration
I agree that the above information provided is complete and correct. I understand that if any information is found to be incorrect/incomplete/unavailable, I will be disqualified from participating in the program.
Yes   
Please select yes.

I agree that I am not enrolled into any full-time / part-time academic program / pursuing other job. I will be able to completely devote myself to the course by regularly participating in classes
Yes   
Please select yes .

I will submit the following documents during course enrolment, if selected.
  1. Aadhar Card (for address & DOB verification)
  2. Class X Marksheet (for marks verification)
Yes   
Please select yes .