Centre for Development of Advanced Computing
Bangalore
FutureSkills PRIME (Programme for Re-skilling/Up-skilling of IT
Manpower for Employability)
Document Name:
Guideline & SOP for CDAC/NIELIT Resource Centres (RCs)
Document Code: FSP/G&SOP Version: 2.0
Annexure FSP/BCMP/01
Template for Registration/ Application Form for Bootcamp
(To be filled by the applicant/participant and maintained by the respective Institute)
Date:
Resource Centre Name: Technology: Role: Lead/Co-Lead
Course Name :
Course Start Date :
Applicant Name (as per Gov ID) :
Date of Birth :
Gender :
Mobile Number :
Email ID (official ID preferred) :
Native State :
District :
Government-issued ID Number1 (copy :
enclosed)
Organization/Academic Institute (if applicable) :
Highest Qualification (with Degree & Branch) :
Status (Pursuing/ Passed out) :
Beneficiary Category (Tick as applicable) : Career aspirant/Student
Employment Seeker/Passed out
Non-IT Employees (cross-pollinated digital roles)
IT Employees (IT &Non-IT sectors)
PSE Employee
Involved in previous FSP Program2 : Yes / No
If previous answer is, yes provide details : 1. Program Name / Conducting Institute / Date
(Program Name / Conducting Institute / Date) 2. Program Name / Conducting Institute / Date
I hereby declare that all the information provided above is true.
Applicant Signature
(For office purpose)
The above submitted information has been verified and recommended.
1
Any of the government issued ID: Photo identity card issued by the Central Government or a State Government or
a Public Sector Undertaking, Driving License, Electoral Card, Ration Card, Aadhaar
2
Participants are not allowed to enrol in the same program for more than once
Centre for Development of Advanced Computing
Bangalore
FutureSkills PRIME (Programme for Re-skilling/Up-skilling of IT
Manpower for Employability)
Document Name:
Guideline & SOP for CDAC/NIELIT Resource Centres (RCs)
Document Code: FSP/G&SOP Version: 2.0
(Signature)
Course Co-ordinator
