FutureTech Computer Institute

Session

Course Applied For *

Batch Timing

Medium

Admission No

ADM/GKP/---/26/001

Roll No

FCIIT-26-----001

Student ID

FT/GKP/----/2026/001SK

1. STUDENT'S PERSONAL DETAILS

Title

Candidate Name (English) *

Candidate Name (Hindi)

Father's Name *

Mother's Name *

Date of BirthAge: -- years

Gender

Category

Religion

Marital Status

Aadhaar Number *

Mobile (Student) *

+91

Mobile (Guardian)

Email ID

Paste Photo
3.5 x 4.5 cm

Signature Box

2. CONTACT INFORMATION

Block / Tehsil (Gorakhpur) *

Village / Mohalla *

Post Office

District

State

Pin Code *

3. ACADEMIC QUALIFICATION

EXAM PASSED	BOARD / UNIVERSITY	YEAR	ROLL NO	TOTAL MARKS	OBTAINED	%AGE	DIVISION
10th (High School) *
12th (Intermediate)

4. PAYMENT DETAILS

Payment Options

Payment Plan *

Payment Method *

Amount Paid Today *

₹

Minimum amount as per selected plan

Payment Date

Date of Admission

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DECLARATION BY STUDENT:

I hereby declare that all the information provided in this form is true to the best of my knowledge. I have read the Prospectus and Rules & Regulations of FutureTech Computer Institute and I promise to abide by them. I understand that my admission is liable to be cancelled if any information is found incorrect. I agree to pay the fees as per the institute norms.

I agree to the terms and conditions and give consent to use my data for admission purposes.

FOR OFFICE
USE ONLY

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Course Fee

Scholarship (%)

Registration Fee

Certificate Fee

Net Payable

Date of Admission

Amount Paid

Balance Due

Authorized Signatory

FutureTech

Computer Institute & Information Technology

FUTURETECH COMPUTER INSTITUTE

Payment Options

Payment Details

UPI Payment

Offline Payment

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FOR OFFICE
USE ONLY

SCHOLARSHIP CRITERIA

ONE-TIME PAYMENT

SCHOLARSHIP GRANTED

0% OFF

FUTURETECH COMPUTER INSTITUTE

Payment Options

Payment Details

UPI Payment

Offline Payment

Need Help? WhatsApp Us!

FOR OFFICEUSE ONLY

SCHOLARSHIP CRITERIA

ONE-TIME PAYMENT

FOR OFFICE
USE ONLY