Skip to content
9783726007
revival372@gmail.com
RevivalsEdu
Open Button
Home
Our Centers
Revival E-Solutions
Revival IT Education
Harman Service Point
Courses
IT Courses
RS-CIT
MDCTT
MDCA
DIT
Tally
Academic Courses
English
Maths
Degree Courses
Diploma Courses
Gallery
Photos
Videos
Contact us
About us
Close Button
Send WhatsApp
LEARN WITH US
Please enable JavaScript in your browser to complete this form.
Layout
Learner Name
*
Date of Birth
*
Mother Tongue
Hindi
English
Marital Status
Single
Married
Physically Challenged
Select
Yes
No
Do you have Aadhar
*
Yes or No
Yes
No
Mobile Number (copy)
*
Qualification
*
Select Your Qualification
Below 10th
SSC
HSC
Graduate
Post Graduate
Other
Doctorate
Father/Husband Name
*
Center
Select a Center
Keshorai Patan
Khatkar
Gender
Male
Female
Medium of Study
Combined (Hindi + English)
Proof of Identity
Select
PAN Card
Voter ID Card
Driving License
Passport
Employee ID Card
Government ID Card
College ID Card
School ID Card
Aadhar Card
Enter Aadhar Number (if Yes)
Email
*
Type of Learner
*
Select Type of Learner
School Student
Post Graduate Student
Govt Officer
College Student
Govt Employee
Professional
Housewife
ITI Student
Teacher
Senior Citizen
Polytechnic Student
Business Person
Faculty
UnEmployed
Pvt. Employee
Freelancer
Distance Education
Defense
Finance
Banking
Govt. Employee
Pvt. Firm
Police
Engineers
RS-CIT
Information Technology
Govt. Employee (Other Dept.)
Govt. Teacher (Education Dept.)
Govt. Non-Teacher (Education Dept.)
Other
Course
*
Select Your Course
RS-CIT
MDCA
MDCTT
DIT
Tally
English (10th & 12th – RBSE & CBSE)
Math (9th & 10th – Only RBSE – Hindi Medium)
M.Sc.
B.Sc.
B.A.
B.A.+B.Ed
B.Sc.+B.Ed
BPT (Physiotherapy)
B.Ed.
D.Ed.
Fire Safety
Fashion Design
Hotel Management
YOGA
PGDCA
NIOS (10th)
NIOS (12th)
Address
Layout
District
Tehsil
Checkboxes
First Choice
Second Choice
Third Choice
Submit