Online Student Admission - CSC SOCIETY ASSAM

Student Admission Application

DBM INSTITUTE — Digital Computer Education

Fields marked with * are mandatory

1. Personal Details

Full Name (as per ID proof) *

Father's Name *

Mother's Name

Guardian's Name

Relation

Date of Birth *

Gender *

Upload Documents

Passport Size Photo JPG/PNG, max 5MB, white background preferred

Aadhaar Card (Front & Back) JPG/PNG/PDF, max 5MB — scanned copy of Aadhaar card

Last Qualification Certificate/Marksheet JPG/PNG/PDF, max 5MB — marksheet or certificate

2. Address

Present Address *

District

PIN Code

3. Educational Qualification

Highest Qualification

4. Blood Group & Donation

Blood Group

I am willing to donate blood

Donors will be listed district-wise in our Community Blood Donor Directory to help citizens in need.

5. Course Selection

Course *

Preferred Centre

Declaration: I declare that the information provided is true and correct. I understand that false information may lead to cancellation of my admission.