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JLJ Academy of Computer Technology
Faridabad Centre 1 :
S.C.F. 56-57, Part-II, Sector 16A,
Opp. Govt. Nehru College,
Near Magpie Tourist Complex, Faridabad 121002
Ph.: 0129-2283076, 2264037
Fax: 0129-2268442
Mobile: 9811065240
Faridabad Centre 2 :
6B, Central Green, NH-5, N.I.T.,
Between B.K. Chowk & Dayanand Women's College,
Faridabad-121001.
Tel. : 0129-2412780, 2431242
Delhi Admission Office/Centre:
9AB, Taimoor Nagar, Main Road,
New Friends Colony,
New Delhi -65
Ph.: 011-26329549, 26329550
Mobile: 9811188072

Your Name*:
Date of Birth :
(dd-mm-yyyy)
Date
Address*:
Post / Zip Code :
Phone No*:
Mobile No*:
Father's Name*:
Father's Occupation :
Father's Company :
Father's Designation :
Mother's Name :
Mother's Occupation :
Monthly Family Income :
<5000 5000 - 10,000 10,000 - 20,2000 20,000 - 50,000 >50,000
Qualification*
Year*
School / College*
Subject / Stream*
Marks %*
10th
10+2
Graduation
Post Graduate
Any Other Qualification
Candidate Occupation*:
Regular Student Correspondence Student Unemployed Working
Working at :
 
Background in Computers:
Career Plan :
Purpose of Course :
Computer Awareness Computer Career Specialised
You came to know of this Institute Through :
Adv. in Newspaper        H.T.              T.O.I       Other Newspaper Cable Add
Leaflet in Newspaper    Hoardings    Mailer    Seminar                  Friends      Others
Time Availability :
Full Time       Regular Course     Part Time Continuous   Part Time along with Graduation
Weekend Batch
Duration Availability For Education :
6 Months   1 Year 2 Years 3 Years 4 Years 5 Years
Budget Allocation For Computer Course (Per Year) :
<5000 5000 - 10,000 10,000 - 20,000 20,000 - 50,000 50,000 - 1,00,000 >1,00,000
Planned Date of Admission :
Immediate Within 1 month Within 2 months or Specify Months
Email Id*:
Course Interested*:
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JLJ Academy of Computer Technology
Centre 1 Faridabad NCR
Centre 2 Faridabad NCR
Centre 3 South Delhi