Jatiya Yuva Computer Shaksharta Mission

JAS -ANZ accredited An ISO 9001: 2008 & 9001 : 2015 Certified Autonomous Body | A National Programme of Information Technology Education & Development.

Register For E-Learning

Course Code*

Others

Full Name of the Applicant (as per certificate)

Father's Name (as per certificate)

Mother's Name (as per certificate)

Husband's Name (as per certificate)

Complete Address

City/District

State Code

Country

Pin Code

Telephone Number

Mobile No.*

E-mail ID

Date of Birth*

Category ST SC Handicapped Other

Gender Male Female

Courseware Medium English Hindi

Detail of Qualifying Examination

	Name of Board / University	College / School Name	Year of Passing	% Obtained
SSC/10th
Inter/12th
Degree
Others

Photograph(Max Width 600 Pixel & Max Height 600 Pixel)