Youth Computer Training Centre
A Government of West Bengal Initiative Under the Directorate of Youth Services
Application Form for Education & Training
FOR OFFICE USE ONLY
Registration No. ____________ Batch ____________
Course: ____________ Date of Admission: ____________
Affix your recent
Passport size
photograph here
Course Code
USE ONLY BLOCK LETTERS
Name of the Applicant:
Father's Name:
Address:
Post Office:
District:
Pin Code:
Phone Resi:
Office:
Date of Birth:
__ __ __ __ __ __ __ __ __
Category:
GEN
SC
ST
OBC
MINORITY
Exam Passed
Year
Board/University
% of Marks
Educational Qualification: