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CCNA Form

This document appears to be a student registration form for Cisco Networking Academy courses offered by the University of Engineering and Technology in Taxila. It collects personal information from the student like name, address, contact details, ID number, birthdate, qualifications and the specific courses they want to take. The student signs to confirm their application and notes how they heard about the academy. The form is then approved or rejected by an instructor and outlines the fee schedule for the different course modules.

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sufyan
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0% found this document useful (0 votes)
828 views1 page

CCNA Form

This document appears to be a student registration form for Cisco Networking Academy courses offered by the University of Engineering and Technology in Taxila. It collects personal information from the student like name, address, contact details, ID number, birthdate, qualifications and the specific courses they want to take. The student signs to confirm their application and notes how they heard about the academy. The form is then approved or rejected by an instructor and outlines the fee schedule for the different course modules.

Uploaded by

sufyan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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University of Engineering and Technology, Taxila
Form No………………….
Student Information
Student Personal Information (Block Letters)

Full Name:

Father’s Name:

Address:

Home Phone: Cell Phone:

E-mail Address:
Alternate E-mail
Address:

ID Card Number:

Birth Date: Marital Status:


Qualifications:

SSC HSSC Graduation Diploma


Other
Courses:

CCNA CCNP Optical Fiber Web Designing

MCSE

Student’s Signature(s) Date

How you come to know about our Academy

News paper Banner Website From students

For Office use only


Instructor’s Approval

Approved

Rejected

Instructor’s Signature Date

Fee Schedule
Amount Revived By Signature Date
Module 1
Module 2
Module 3
Module 4

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