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Registration Form

Note : All uploaded files must be in JPEG,JPG or PNG format only, Maximum Uploaded file size only upto 1MB only.

Course Applied For

Candidate's Details (in CAPITAL LETTERS):

First Name: *

Last Name: *

Father's Name: *

Mother's Name: *

Student's Photo: *

Name of the Parent/Guardian and Address(in CAPITAL LETTERS):

Parent/Guardian's Name and Address: *

Permanent Address:

Address: *

State: *

City: *

Pin Code: *

Correspondent Address:

Address:

State:

City:

Pin Code:

Contact's Details:

Parent's Contact: *

Student's Contact:

Parent's Email: *

Student's Email:

Alternate Number:

Student's Personal Details:

D.O.B: *

Gender:

Category:

Nationality :

Aadhar No. :

ABC ID (Academic Bank of Credits ID) :

Academic Details:

Class	School/ College	Board/ University	% Mark	Subject
Matriculation
Intermediate
Graduation

Participation in extra curricular activity:

Document Uploads:

10th Marksheet: *

12th Marksheet:

Graduation Marksheet

Transfer Certificate:

Migration Certificate:

Character Certificate

Aadhar Card : *

Income Certificate:

Caste Certificate:

Domicile:

Type Security Code: *

Call

Email

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