Advance Certificate Program Enrolment
INDIA - SAMOA CEIT - A premier institute for training and enhancement of Information Technology skills funded by the Government of the Republic of India in collaboration with the government of the Independent State of Samoa and operated in association with The National  University of Samoa (NUS) and Centre for Development of Advanced Computing (C-DAC).
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Full Name *
Date of Birth *
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Mode of Study *
Proposed Courses *
Education Qualifications
Completed Year 13 (SSLC) *
Bachelor Degree (If Any)
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Time Preference
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Course Fee(Amount paid at Registration) *
Declaration
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it. I can be contacted via email or phone number provided on this form *
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