Regd. By. - U.P. Government, Regd. No. 994/2015-2016
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Examination Details / परीक्षा विवरण
Applied As / किसके रूप में आवेदन किया *
Direct
Institute
Applied for Course/ किस Course के लिए आवेदन किया*
--Select Course Category--
COACHING CLASSES
COMPUTER HARDWARE
COMPUTER SOFTWARE
ENGLISH SPEAKING COURSE
Experience Certificate
INTERNET & NETWORKING
SOFTWARE DEVELOPMENT
TUITION CLASS
UNIVERSITY COURSE
WEBSITE DESIGNING
----Select Course Name----
1
ADVANCE DIPLOMA IN COMPUTER APPLICATION
CERTIFICATE FOR COMPUTER APPLICATION
CLASS 2
CLASS 3
CLASS 4
CLASS 5
CLASS 6
DESK TOP PUBLISING
DIPLOMA IN COMPUTER APPLICATION
DIPLOMA IN COMPUTER PROGRAMMING
DIPLOMA IN FINANCE ACCOUNTING
ENGLISH TYPING COURSE
Experience Certificate
HINDI TYPING COURSE
LKG
TALLY
UKG
College Location
-----Select Study Center------
LAKSHYA INSTITUTE OF COMPUTER
Applicant's Personal Details /आवेदक का व्यक्तिगत विवरण
Applicant's Full Name / आवेदक का पूरा नाम *
Mr.
Ms.
Father's Name / पिता का नाम *
Mr.
Mother's Name / माता का नाम *
Mrs.
Gender / लिंग*
Select One
Male
Female
Date of Birth / जन्म दिनांक *
Category / वर्ग*
Select One
General/सामान्य
Scheduled Caste/अनुसूचित जाति
Scheduled Tribe/अनुसूचित जनजाति
Other Backward Class/अन्य पिछड़ा वर्ग
Date Of Registration *
Contact Details / संपर्क विवरण
WhatsApp Number *
+91
Mobile / मोबाइल *
+91
Email / ईमेल पता *
Address Details / पता विवरण
Full Address / पता *
City Name / शहर का नाम *
State / राज्य *
-----------Select State---------------
ASSAM
JHSRKHAND
KARNATAKA
ANDHRA PRADESH
Arunachal Pradesh
BIHAR
CHHATTISGARH
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
KERALA
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
District / जिला *
--------------Select Distt-------------
AGRA
ALIGARH
AMBEDKAR NAGAR
AMETHI
AMROHA
AURAIYA
AYODHYA
AZAMGARH
BAGPAT
BAHRAICH
BALLIA
BALRAMPUR
BANDA
BARABANKI
BAREILLY
BASTI
BHADOHI
BIJNOR
BUDAUN
BULANDSHAHAR
CHANDAULI
CHITRAKOOT
DEORIA
ETAH
ETAWAH
FARRUKHABAD
FATEHPUR
FIROZABAD
GAUTAM BUDDHA NAGAR
GHAZIABAD
GHAZIPUR
GONDA
GORAKHPUR
HAMIRPUR
HAPUR
HARDOI
HATHRAS
JALAUN
JAUNPUR
JHANSI
KANNAUJ
KANPUR DEHAT
KANPUR NAGAR
KASGANJ
KAUSHAMBI
KUSHINAGAR
LAKHIMPUR KHERI
LUCKNOW
MAHARAJGANJ
MAHOBA
MAINPURI
MATHURA
MAU
MEERUT
MIRZAPUR
MORADABAD
PILIBHIT
PRATAPGARH
PRAYAGRAJ
RAEBARELI
RAMPUR
SAHARANPUR
SAMBHAL
SANT kABIR NAGAR
SHAHJAHANPUR
SHAMLI
SHRAVASTI
SIDDHARTH NAGAR
SITAPUR
SONBHADRA
SULTANPUR
UNNAO
VARANASI
Pin Code / पिन कोड *
Qualification Details / शैक्षिक / योग्यता का विवरण
Highest Educational Qualification / उच्चतम शैक्षिक योग्यता *
Select One
Other
Graduation or Higher
Polytechnic Diploma
Below 10th
10th Pass
10th + ITI
12th Pass
Year of Passing / उत्तीर्ण वर्ष *
Identification Details / पहचान की सूचना
Aadhar Card Number / आधार कार्ड संख्या*
Upload Photo / फोटो अपलोड *
(Only JPG,JPEG,PNG File Upload)
Upload Signature / हस्ताक्षर अपलोड *
(Only JPG,JPEG,PNG File Upload)
Upload Left Hand Thumb Impression (Only for CCC)/ बांए हाथ के अंगूठे का निशान अपलोड *
(Only JPG,JPEG,PNG File Upload)
Declaration
* I, hereby declare that, I agree to abide by the rules and regulations of R-Tech Institute of Computer and also to the decision of the Registration authority, regarding my eligibility for registration at the desired level.