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Full Name *

Father Name *

Date of Birth *

Gender *

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Phone (Own) *

Phone (Family) *

Relation *

Email

Batch Number * Example: 1-26-27 (Batch 1, Session 2026-27)

Course * -- Select Course -- Computer Course (Rs. 15,000) Six-Month Diploma (Rs. 25,000) English Language (Rs. 12,000)

Rs. 0/-

Course Fees: Rs. 0/-

Admission Fee (One Time): Rs. 500/-

Grand Total: Rs. 500/-

Address *

Admission Date *

Photo *