Enrollment Request Form

Your name

Your email

Contact no.

Select your industry connect program

—Please choose an option—- Employability Enhancer- Paid Internship with PBTA- Course Connect- Job Consultancy

Select your highest qualification

Select12th Passed outPursuing Diploma or Degree ProgramFinal Yr StudentGraduated (Passed out)Post-Graduated (Passed out)Others

Kindly mention the name of institution from where you are either pursuing education or completed it

Your current location

Attach your latest resume here:

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