REGISTRATION APPLICATION FORM FOR COURSE

1. Registration Form
1.0	Have you got online reference number for enrolment with NIELIT/Accreditation/Extension Center	NoYes
1.1	Registration sought for
1.2	Applied As	Direct CandidateThrough Institute
1.3	Exam Cycle
1.4	Registration Fee Will Be Paid By?
2. Applicant's Personal Details
2.1	Applicant's full name
2.2	Care Of	ParentsGuardian
2.2.1	Father's Name
2.2.2	Mother's Name
2.3	Gender	Male Female Others
2.4	Date of Birth
2.5	Marital Status
2.6	Category
2.7	Handicapped	NoYes
2.8	Ex-Serviceman	NoYes
2.9	EWS	NoYes
2.10	Religion
3. Contact Details
3.1	Mobile Number
3.2	Email ID
3.3	Address Line 1
3.4	Address Line 2
3.5	City
3.6	State
3.7	Pin Code
4. Educational / Qualification Details
4.1	Highest Educational Qualification
4.2	Year of Passing
5. Identification Details
5.1	Aadhar Card Number
5.2	Upload Photo