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Application Enquiry Form

This application form collects personal information such as name, address, date of birth, occupation, educational qualifications, and contact details from applicants for XIPHIAS SOFTWARE TECHNOLOGIES. It also asks applicants to select the computer programming courses and technologies they are interested in such as .NET, PHP, Java, C/C++, and web development. Applicants must declare that the information provided is true and that they have read and agree to abide by the student terms and conditions.

Uploaded by

Saayan Moulik
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
63 views1 page

Application Enquiry Form

This application form collects personal information such as name, address, date of birth, occupation, educational qualifications, and contact details from applicants for XIPHIAS SOFTWARE TECHNOLOGIES. It also asks applicants to select the computer programming courses and technologies they are interested in such as .NET, PHP, Java, C/C++, and web development. Applicants must declare that the information provided is true and that they have read and agree to abide by the student terms and conditions.

Uploaded by

Saayan Moulik
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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XIPHIAS SOFTWARE TECHNOLOGIES (P).LTD.

APPLICATION/ENQUIRY FORM
Name: PHOTOGRAPH

Address:

City: Pin Code:

E-mail:

Date of Birth: Occupation:

Mobile:

Educational Qualification:

1 Under Graduate
2 Graduate
3 Post Graduate
4 Others (Specify)

Course enrolled:

Dot net: PHP: Mainframe: Embedded: Web development:

Animation: SEO: Java: C/C++: AJAX:

Oracle : CSS: XML: SQL Server: BPO/Call center

I hereby declare that the information provided by me is true. I also declare that I have read the students
terms and conditions; I have understood it and agree to abide by it.

Date:…………………. Place:…………………………. Signature:……………………………….

For Office use only


Receipt No: Roll No:

Date : Enrolled by:

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