Registration Form

Registration

Name :

Father's / Husband's Name :

Address :

Tel. Office :

Tel. Residence :

Qualifications :

Occupation :

Student Service Profession Business

Why do you want to do Computer Course ?

To Know ABC of Computers

To Upgrade Computer Knowledge

To pursue career in Computers

Any other

Details of Computer Course done ( if any )


Course Desired :

Convenient timing for attending classes :

COMPUTER EDUCATION & TRAINING CENTRE
( A Govt. of India Enterprise )
Sreenidhi Building, Near New Bus stand, Kannur Road, Vatakara, 673 101