Your Name:                                                                                          Male:          Female:                          

Father's Name:                                                                

E-mail Address:                                                                  

Postal Address:                                                               

Class:                                                                              

School/College Name:                                                   

Which course you would like to join:                            Jumpstart Junior Smart Senior Graphic Designer Web Designer

Any other information which you require:                    

Any special interests in computers:                               Programming:                     

                                                                                        Internet:                                

                                                                                        Games:                                 

                                                                                        Graphic Designing:             

                                                                                        Web Designing:                   

                                                                                        Hardware and Repair: