Student Registration Form

Eligibility Criteria to Register

Participants will have to meet the following eligibility criteria to register for the program
  • Participant should be a current student in an engineering/sciences college, preferably from 2nd/3rd/final year
  • Participant can devote `140 hours to go through blended training
  • Participant is willing to pursue a career in IT sector and is committed to migrate to pursue the job opportunity
  • Participant has basic English skills and computer skills

All fields are mandatory

Basic Details
Unique Id Card
Please select valid unique id proof.
Unique Id Proof Number
Please enter valid Id proof number without spaces or dashes.
First Name
Please enter valid firstname.
Last Name
Please enter valid lastname.
Email Address
Please enter valid email.
Phone
Please enter valid mobile.
Gender
Please select gender.
Date of Birth
Please enter valid date of birth.
Current Address
Current Address
Please enter valid current address.
City
Please enter valid city.
Pincode
Please enter valid pincode.
Permanent Address

Same as current address

Permanent Address
Please enter valid permanent address.
City
Please enter valid city.
Pincode
Please enter valid pincode.
Education Qualifications
College Name
Please select valid college name .
Year of passing out
Please enter valid year of passing.
Please Specify Others College Name
Please specify valid college name .
Educational Qualification
12th/ Intermediate Percentage
Please enter valid 12th/ Intermediate Percentage.
Family Details
Guardian’s Name
Please enter valid guardian's name.
Guardian’s Mobile(digits only)
Please enter valid mobile number.
Relationship with guardian
Please select relation with guardian.
Annual Family Income (Per Annum)
Please select Annual Family Income.
Income Certificate Available?
Please select availability of income certificate.
No of Family members (including you)
Please enter valid No of family members .
The profession of Chief Wage Owner
Please select The profession of Chief Wage Owner
Who is Highest educated in family?
Please enter valid Highest Educated Family Member.
Highest Educated Qualification in Family
Please enter valid Highest Educated Qualification in Family.
Other Information
Do you have access to laptop/desktop?
Yes    No   
Please select yes or no.
Do you have Internet access?
Yes    No   
Please select yes or no.
Declaration
All the information above is true to my knowledge. Any deviation from the information submitted can lead to my disqualification from the program
Yes   
Please select yes.
I disclose the information willingly for it to be used by the authorities for the purpose of the program. Also, the authorities have the right to use the pictures, videos and above-mentioned details for media surveys.
Yes   
Please select yes .
I will adhere to guidelines and complete the program.
Yes   
Please select yes .