Student Registration

  Personal Information
Student Registration Id   Student Name    
Father / Husband Name   Mother Name  
Contact No   Email Id  
Date of Birth   Gender    
Religion   Nationality  
Category
  Maritial Status  
Physically Handicaped   If Physically Handicaped  
Employment Status
Company Name
           
  Address
  PRESENT ADDRESS     PERMANENT ADDRESS  
       
House No   House No  
Street Name   Street Name  
City/Town/Village   City/Town/Village  
District   District  
State   State  
ZIP Code/PIN Code   ZIP Code/PIN Code  
       
  Educational Qualification
Exam University/Board Year of Passing Subject Divison/Grade %of Marks  
10th  
12th  
Graduation  
Post Graduation  
             
  Course Applied For
Select Course     Course Fees
 
Registration Date          
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