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Franchise Registration
Institute Information
Centre Name:
Centre Address:
Centre Image: Exterior Image:
Interior Image:
Centre Landmark:
Centre Email Id:
Centre Mobile:
Centre District:
-select a district-
Ambala
Bhiwani
Charkhi Dadri
Faridabad
Fatehabad
Gurugram
Hisar
Jhajjar
Jind
Kaithal
Karnal
Kurukshetra
Mahendragarh
Nuh
Palwal
Panchkula
Panipat
Rewari
Rohtak
Sirsa
Sonipat
Yamunanagar
Centre City:
Centre Head Details
Name:
Photo:
Father Name:
Mother Name:
Email Id:
Mobile No:
Address:
District:
-select a district-
Ambala
Bhiwani
Charkhi Dadri
Faridabad
Fatehabad
Gurugram
Hisar
Jhajjar
Jind
Kaithal
Karnal
Kurukshetra
Mahendragarh
Nuh
Palwal
Panchkula
Panipat
Rewari
Rohtak
Sirsa
Sonipat
Yamunanagar
City:
+(91)-72067-51123
info@dkcsm.in
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REGISTRATION FORM
First Name :
*
Last Name :
Father's Name:
*
Fathers Occupation:
*
--select--
Government Service
Private Service
Business
Others
Guardians Name:
*
Mothers Name:
*
Mothers Occupation:
*
--select--
Government Service
Private Service
Business
HouseWife
Others
State :
Haryana
Select A District :
*
-select a district-
Ambala
Bhiwani
Charkhi Dadri
Faridabad
Fatehabad
Gurugram
Hisar
Jhajjar
Jind
Kaithal
Karnal
Kurukshetra
Mahendragarh
Nuh
Palwal
Panchkula
Panipat
Rewari
Rohtak
Sirsa
Sonipat
Yamunanagar
Select A City :
*
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Select Center :
*
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AD COMPUTER CENTRE
MR.PERFECT ACADEMY
Course Applying For :
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Computer Course
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Accounts Course
Designing Course
Hardware Networking Course
Management Course
Teacher Training
Paramedical
Hotel Management
ITI Courses
Fire Safety
Course Name :
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Family Income (Anually):
*
Qualification:
*
DOB:
*
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Email:
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Contact No.:
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Address:
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Postal Code:
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Gender:
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Male
Female
Marital Status:
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Single
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