| 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. |
|
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