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Registration Form "Joint Certification Course on Data Science & AI"
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* Indicates required question
Email
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Your email
Name of the candidate
*
Your answer
Father's/ Mother's/Husband Name
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Your answer
Date of Birth
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MM
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DD
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YYYY
Gender
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Female
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Other:
Nationality
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Address
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City
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State
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Pin Code
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Mobile Number
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Your answer
Email ID
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Your answer
PAN Number
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Educational Qualifications
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Post-Graduation
Degree
Certificate
Post-Graduation
Degree
Certificate
Post-Graduation
Clear selection
University/ Board
Your answer
Year of Passing
Your answer
Percentage of Marks
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Professional Qualification
Degree
Certificate
Clear selection
University/ Board
Your answer
Year of Passing
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Percentage of Marks
Your answer
Graduation
*
Degree
Certificate
Professional Qualification
Degree
Certificate
Professional Qualification
University/ Board ( Graduation )
*
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Year of Passing ( Graduation)
*
Your answer
Percentage of Marks ( Graduation)
*
Your answer
Work Experience till date ( _____Years _______Months)
*
Your answer
FOR ANY ENQUIRY/ QUERY, PLEASE CONTACT
Programme Co-ordinator
Ms. Ankita Majumdar
Email:
a.majumdar@imi-k.edu.in
,Phone: +91 9830214814
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