Application for Admission: 5th COIST Certificate Programme
* Kindly go through the Course details (on thoroughly before posting your application.
* The selected candidates will be informed to pay the fees and join the Course only after Screening Committee's approval. * Last date to submit this form/apply online is: 18th November, 2017

* The Course is a classroom based programme
* No accommodation facility is available

Full Name *
Surname, Name, Middle Name
Qualification *
Name of the College/ University *
Gender *
Office Address *
Residence Address *
Telephone Number
Cell Number *
E-mail ID *
Add an accurate e-mail ID
Once my admission is confirmed, I will mail the photocopies of the certificates (to as evidence of my qualification *
I hereby declare that i am fully aware of the details of COIST Certificate Course. I confirm that the personal information furnished to you is true to the best of my knowledge *
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