Course on :-

Diploma in Computer Application	Animation for Web
Diploma In Computer Technology	Desktop and Graphics
Programming Languages	Windows Package
Web Page Designing	Others

Salutation :-         MR. MRS. MS. DR.

First Name :-            Last Name :-

Date of Birth :-     January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   (eg. 1979)

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Gender :-             Male Female