Registration Form

DCIT

Admission Form

*Demand Draft No:
*Name :
*Father's/Guardian's Name :
*Address :
*College/School Name :
*Class Studying in :
Phone : (Office)		Residence :
Fax :		*Email :
*Date of Birth :	/ / 19
Educational Qualification :	Service Professional Business Housewife Students (Please specify) Others (Please specify)

You came to know about DCIT through : (Please click)
Newspaper/Magazine/Souvenir (Name of the Publication) : Personal Reference (Please specify the name of the Person) : Banners Posters Hoardings Exhibition Seminar Presentation Handout Newspaper Insert Mailer Any Other (Please Specify) :
Your computer knowledge (Please specify) :
Professional Elementary None
Work Experience :
Computer less than 1 year 1Year 2-3 years More than 3 years (Specify) : yrs Any other (Please specify) :
Name of the company
Address
Telephone No :		Fax :
E-mail :
*Course you are interested in (Please tick) :
Career & Job oriented Vacation course Corporate education program Computer operations Others (Please specify) :
*Specific course you have selected here :
DAWN (O Level) DEASEL (A Level) 'CCC' SCSP DEFT Any other (Please specify) :
*The reason for joining this institute :