BRIGHT CAREER COMPUTER ACADEMY
KANTILO , Nayagarh
Contact: 9861584631
NEW STUDENT ADMISSION
Name of the Student*
Father's name*
Mother's name
Date of Birth*
Gender*
Select
Male
Female
Transgender
Address
City/Village
State*
District*
Select District
Pin Code
Aadhar Number
Gen/SC/ST/OBC*
Select
Gen
SC
ST
OBC
Blood Group*
Select
A+
A-
B+
B-
O+
O-
AB+
AB-
Contact 1*
Contact 2
E-mail Id
Registration Number
Class*
Section*
Select Section
Session*
Roll Number
Joining Date*
Duration (In Months)*
App Password (Default - 123456)
Submit
