Scribd Logo
Upload

Welcome to Scribd!

  • 76 views

    Admission Application Form

    Uploaded by

    Satyajit Dhar
    This document is an application form for admission to the Pro PCTech I.T Institute's diploma programs in Computer Application, Information Technology, and Advanced Diploma in Computer Application. The form requests information such as the applicant's name, date of birth, gender, address, academic qualifications, nationality, and a declaration signed by the applicant stating that the information provided is true. The form also provides instructions for documents to attach including a photograph, nationality certificate, resident certificate, and marksheets.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Admission Application Form

    Uploaded by

    Satyajit Dhar
    76 views2 pages
    This document is an application form for admission to the Pro PCTech I.T Institute's diploma programs in Computer Application, Information Technology, and Advanced Diploma in Computer Application. The form requests information such as the applicant's name, date of birth, gender, address, academic qualifications, nationality, and a declaration signed by the applicant stating that the information provided is true. The form also provides instructions for documents to attach including a photograph, nationality certificate, resident certificate, and marksheets.

    Original Description:

    Original Title

    Admission application form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for admission to the Pro PCTech I.T Institute's diploma programs in Computer Application, Information Technology, and Advanced Diploma in Computer Application. The form requests information such as the applicant's name, date of birth, gender, address, academic qualifications, nationality, and a declaration signed by the applicant stating that the information provided is true. The form also provides instructions for documents to attach including a photograph, nationality certificate, resident certificate, and marksheets.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    76 views2 pages

    Admission Application Form

    Uploaded by

    Satyajit Dhar
    This document is an application form for admission to the Pro PCTech I.T Institute's diploma programs in Computer Application, Information Technology, and Advanced Diploma in Computer Application. The form requests information such as the applicant's name, date of birth, gender, address, academic qualifications, nationality, and a declaration signed by the applicant stating that the information provided is true. The form also provides instructions for documents to attach including a photograph, nationality certificate, resident certificate, and marksheets.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Pro PCTech I.

    T Institute
    An academy of computIng systology & scIence

    Regd. Under Govt. Of Tripura, Act-


    APPLICATION FORM FOR ADMISSION IN
    1860,Registration No.160042101129,Govt. Of
    India. Head Office: Kailashahar,Unakoti DIPLOMA IN COMPUTER APPLICATION AND
    Tripura, India-799277 CERTIFICATE IN INFORMATION TECHNOLOGY

    Please Give Tick Mark / Fill Up In The Appropriate Field…………….

    1. Programme Applied For : DCA CIT ADCA

    2. Name Of Applicant : _____________________________________________________________

    3. Father’s Name : _____________________________________________________________

    4. Mother’s Name : _____________________________________________________________

    5. Name of Guardian if Orphan : _____________________________________________________________

    6. Date Of Birth : MM DD YYYY

    7. Gender : M F

    8. Mobile No. : + 91

    9. Telephone No. : STD____________________ Land Phone No.____________________________________

    10. Email Address : _____________________________________________________________

    11. Residence Permanent Address : Street address_________________________________________Vill/Town______________

    _________________P.O_________________________Pin:______________________

    District___________________State____________________Country___________________

    12. Residence Present Address : Street address_________________________________________Vill/Town______________

    _________________P.O_________________________Pin:______________________

    District___________________State____________________Country___________________

    13. Academic Qualification : _____________________________________________________________


    14. Whether Appeared For Madhyamik: YES NO If yes than total marks obtained___________

    Out of_____________Percentage of marks___________%

    15. Adhaar Registration Number : ____________________________________________________________

    16. Nationality : ___________________________

    17. Whether Resident Of Tripura : YES NO

    18. Religion : ___________________________

    Student Declaration

    I,Sri/Smt_____________________________________S/O,D/O______________________________________P.O____________
    ____________________________P/S_________________________________of District__________________________, do
    hereby declare and affirm that the particulars given in the application form are true to the best of my knowledge and belief and in
    case any of the particulars furnished is found to be false at any subsequent state, my admission can be cancelled as or decision
    made by the authority of the concerned institution. I shall also be liable to other actions which the institution authority may take
    against me.

    Date:______/______/___________

    Place: Signature of the applicant

    Seal And Signauture Of The Head Of The


    Institution
    (For Office Use Only)

    Please enclose the following particulars attached with the application form:-

    1. One recent colored stamp size photograph of the applicant.


    2. One Xerox copy of Nationality Certificate duly attested by self.
    3. One Xerox copy of Permanent Resident Certificate duly attested by self.
    4. One Xerox copy of Student Madhyamik Examination Marksheet if applied for DCA & ADCA or else Xerox copy of 8th standard marksheet for CIT
    duly attested by self.
    5. One Xerox copy of Student Adhaar Card duly attested by self.

    You might also like