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Admission Form
1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Courses / पाठ्यक्रम *	--Select-- ACC - Awareness in Computer Concepts ADBA - Advance Diploma In Business Account ADCG - Advance Diploma In Creative Graphics Design BCC - Basic Computer Course CCC - Course on Computer Concepts CCC PLUS - Course on Computer Concepts Plus DCA - Diploma in computer Appication DTP - Desktop Publishing ECC - Expert Computer Course ECT - Expert Computer Teacher English Speaking - English Speaking MDCAM - Master Diploma in Computer Application & System Management Microsoft Office - Microsoft Office O-Level - O- Level Course is a foundation Course of DOEACC Society in the field of Information Technolog- Tally - Accounting With Tally ERP 9.0
Applicant's full name / आवेदक का पूरा नाम *	Mr./श्री Ms./सुश्री Km./कुमारी ( Full name as per the highest / latest qualification certificate or legal certificate )
Father's Name / पिता का नाम *	Mr./श्री ( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *	Mrs./श्रीमती ( Full Name As Per Educational/Legal Certificate )
Date of Birth / जन्म दिनांक * (dd-Mon-yyyy)	( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
Category / श्रेणी *	General OBC SC ST
Gender / लिंग *	Male Female
Permanent Address / स्थाई पता *
Correspondence Address / पत्राचार का पता *
Mobile Number / मोबाइल नंबर *
Guardian's Mobile Number / संरक्षक मोबाइल नंबर *
Academic Qualification / शैक्षिक योग्यता *
Center / केंद्र *	Excite Computer Centre - Banda -- (1st Floor Above JMK Tata Motors Allahabad Road Aliganj Banda (U.P.) 210001) Excite compute centre - Naraini -- (Atarra Road Naraini ) Excite Computer Centre - Bharua-Sumerpur -- (Rani Laxmi Bai Tiraha Station Road Bharua Sumerpur Uttar Pradesh) Excite computer centre - Baberu -- (Atarra Road Baberu ) Excite Computer Centre - Prayagraj -- (Dharwara Prayagraj) Excite Computer Education - Rath -- (Nai Basti Sena Road, Rath Hamirpur)
Voter ID#/Adhaar ID#/PAN # /मतदाता आईडी # / आधार आईडी # / पैन # *
Upload Photo / फोटो अपलोड करें *	( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Declaration / घोषणा *	I, hereby declare that the particulars submitted by me in the online application form of Excite Computer Center are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of Excite Computer Center and also to the decision of Excite Computer Center regarding any action. I will not held Excite Computer Center responsible for any damages. I hereby accept that ,if the number of Candidates are less than minimum required, Excite Computer Centercan move my registration to the Second Preference City even after I submit the consent to First Preference City. I also declare that i am fit in physically and mentally for yoga courses.