Enquiry Form

Date : 2019-01-23 Time : 00:29:43
First Name
Middle Name
Last Name
Gender Male Female
What is your objective in taking up a computer course ? Basic Computer Awareness For a career in computer
For applying computers in work area Other
Course Preferred
E-Mail Address
Address Line 1
Address Line 2
Address Line 3
City
Pin
Telephone
Mobile No 1
Mobile No 2
Academic qualifications Undergraduate Graduate Post Graduate
Backgroud Student Service Businessman House Wife
Have you done a computer couses earlier ? Yes No
If yes, from where ?
Employment status Yes No
If yes, Company Name ?
Remarks
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