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
Full Name (Please enter your full name as you would like it to appear on your certificate)
Please enter valid full name.
Email Address (provide the email address which is in use)
Please enter valid email.
Mobile
Please enter valid mobile.
Gender
Please select gender.
Date of Birth
Please enter valid date of birth.
Current Address
State
Please select valid state.
City
Please enter valid city.
Permanent Address

Same as current address

Permanent State
Please select valid permanent state.
City
Please enter valid city.
Education Qualifications
College Name
Please select valid college name .
Year of passing out
Please enter valid year of passing.
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 .
Please Select The Profession of the Main Earning Member of the Family
Please Select The Profession of the Main Earning Member of the Family
The Highest Educated Member in the Family?
Please enter valid The Highest Educated Member in the Family.
The Highest Level of Educated Attained in the Family
Please enter valid Highest Level of Educated Attained in the 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 .
I agree to be part of the Edunet (Next Gen Employability) WhatsApp group to receive important programs related communication.
Yes   
Please select yes .