ONLINE REGISTRATION
First Name :
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Last Name :
Gender :
Male
Female
Date of Birth :
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(DOB should be in MM/DD/YYYY format. eg: 12/30/1989)
Age :
Father/Guardian's Name :
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Student's Present Full Address :
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Student Permanent Address :
Student's Mobile Number :
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Please enter a valid telephone number
Father/Guardian's Mobile Number :
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Home Phone Number :
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E-mail Address :
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Educational Qualification :
Course Selected :
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DTP
WebDesigning
GraphicDesigning
CAD
AndroidDeveloper
WebDeveloper
SoftwareDeveloper
ComputerHardware
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Computer knowledge :
Your Latest Photo :
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I agree to the
Terms and Conditions
I am applying for the above programto this Institute having understood in to the curriculum and other aspects relating to the course etc., with sound mind and health without being influenced ny any quater, and for the best interest of my academic career. I hereby declare that the information given in the application form is complete and accuretae. I undersatand and agree that misrepresentation or omission of facts will justify the denial of admission.I have not been convicted of an offence involvingmoral turpitude and have clear understanding that my admission shall be cancelled immediatly after the facts of any such case are known.I shall abide by the decision of the Admission Committee for all purpose. I accept the terms and conditions of Anglade Skill Institute.