Add On Course Online Form

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Select course either from Group A/Group B or both
Group A
Short Term Computer Courses:

Total Fees Rs (Duration: 3 Months):*
Group B
Short Term Courses for Fashion and Designing:

Total Fees Rs (Duration: 3 Months): *
Name of applicant in full (Block Letters) : *
Contact No: *
Please enter a correct contact no. Confirmation of Submission will be sent to this number.
Father's /Guardian Name: *
Contact No: *
Please enter a correct contact no. Confirmation of Submission will be sent to this number.
Mother's Name: *
Email Address: *
Please enter a correct email-id. Confirmation of Submission will be sent to this email-id.
Residential Address*
Permanent Address*
Date of Birth(As recorded in SSLC/ICSE/CBSE Admit Card): *
Gender: *
Male Female
Religion: *
Nationality: *
Are you a student of Umshyrpi College ?:
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OR
If you are working in any government or private sector, fill up the following:
Occupation:
Name of the Organisation under which you are working :