Nusrat ICT Club Online Registration Registration FormWelcome Howdy! Welcome to the Nusrat ICT Club online registration form. Please fill in the fields below and submit your entries for review. Any information entered within this form shall be kept confidential. Fields with red asterisk are required.First Name: *Middle Name: Last Name: *GR No: *Gender: *MaleFemaleDate of Birth: Phone Number: Email: Select Your Class: *10AM10AN10S110S210S310C1M10C1N10C2M10C2N10C3M10C3N10C4N11AM11AN11S111S211S311C1M11C1N11C2M11C2N11C3M11C3N11C4NReasons for joining? *Tell us why you chose to join the Nusrat ICT club?Field of Interest: *We would like to know which area of ICT will you like to focus on.ICT User Skills (Basics)Web DevelopmentGraphic DesignNetworkingIT Support TechnicianProgrammingVideo ProductionAre you a member of any other club in the school? If yes please list down the name of the club(s). *Are you an executive member in other club in the school? If yes, tell us your position. Verify yourselfPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: