COMPUTER CLASS REGISTRATION FORM
Name of the the Computer Center:
MRG COMPUTER EXCELLENCE
Download PDF Course Registeration Form Once you filled and submited
PERSONAL DETAILS
Name:
Date of Birth:
Gender:
Select
Male
Female
Present Resident Address:
Mobile Number:
Email Address:
Upload Passport Size Photo:
PARENT /GUARDIAN INFORMATION (If Applicable)
1
Father’s Name:
Mobile Number:
Email Address
2
Mother’s Name:
Mobile Number:
Email Address:
SELECT COURSE DETAILS LOOKING FOR
Please select the classes that you are interested in
Select Sports
CorelDrow Advance Course
Photoshop Advance Course
Web designing
Computer Basics Course
Any other Computer Course Looking for:
Educational Qualification/Subject
High School Subjects:
Intermediate Subjects:
Graduate Subjects:
PERMANENT RESIDENCE ADDRESS:
Name:
Complete Address:
Mobile Number:
Landline Contact:
CONSENT AND DECLARATION
By signing this application form, I acknowledge that:
I bound to pay computer fee in advance(s) without any delay.
I grant permission for the MRG Computers to use videos taken during class conducted for promotional/Educational purposes.
Applicant's Signature:
Date
Parent/Guardian Signature (OPTIONAL):
Date