IT Essentials_NOMINATION FORM
Student Nomination Form for IT Essentials Program
Email *
Your First Name *
Mention your name as per 10th Marksheet
Your Last Name *
Mention your name as per 10th Marksheet
Your Date of Birth *
MM
/
DD
/
YYYY
Caste Category *
Your Guardian Name *
Your Full Home Address *
State *
District *
City *
Pincode *
Fill your six area PIN code of six digits.
Your Mobile No. *
Email Address for Online Program Access *
Your Institution/College Name *
Name of Website/Portal/Platform, from where you are accessing this form? *
Submit
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