SRCIT

ADMISSION Form / Examination Form
1. Registration Details * (Mandatory fields)
Session*
Courses*
Student full name *	( Full name as per the highest / latest qualification certificate or legal certificate )
Father's Name*	( Full Name As Per Educational/Legal Certificate )
Mother's Name *	( Full Name As Per Educational/Legal Certificate )
Date of Birth * (dd/mm/yyyy)	( As per high school certificate in 'dd/mm/yyyy' format. i.e. '01/Jan/1990' )
Category *
Gender*
Address*
Pin Code *
State *
Email Address	([email protected])
Mobile Number *
Academic Qualification *
Center Name *	Center Status
Voter ID#/Adhaar ID#/PAN # *
Registration Date *
Remark *
Upload Photo *	( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Upload Student Signature *	( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Upload HighSchool Certificate *	( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Uload Adhar Card *	( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Declaration *	I, hereby declare that the particulars submitted by me in the online application form of SRCIT are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of SRCIT.