Registration for DIAT Online Training & Certification Course (OTCC) on Cyber Security
Thank you for your interest in learning the leading-edge technology!
We look forward to have you on-board!

Note:
  1. Please fill all the details in the form given below and submit.
  2. One email id can register only once.
  3. After submission, you will receive an email regarding further process within 05 working days.
  4. If not received, please check your spam/promotional folder.
  5. For any query feel free to contact us at: csdiat1[at]diat[dot]ac[dot]in
Sign in to Google to save your progress. Learn more
Email *
Title
 *
First Name *
Middle Name
Last Name *
Identity Card Number
 *
(Student Id card / Aadhaar card / PAN card / Employee Id card / Any Govt. Issued Id card)
Date of Birth
 *
MM
/
DD
/
YYYY
Educational Qualification
 *
Last Degree Held / Pursuing
 *
Name of the Degree held or ongoing, e.g.: B.Tech / B.E / B.Sc / M.S. / or specify if any other
Name of the Educational Institute
 *
Professional Status
 *
Organization Name, if working
Mobile Number *
Please ensure you enter correct mobile number, all communication will be done through it.
Objectives of attending the course
 *
Required
Declaration
 *
1. I have checked that all the data entered by me is correct to the best of my knowledge and there is no discrepancy.
2. I understand that if wrong data is entered, my enrollment is subject to cancellation.
Required
Do the math
 *
67 - 2
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms