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Student Registration

Student Registration

Step 1 of 3 - Personel information

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Admition No*
Photo*
Student Name*
First Last
Father Name*
First Last
Mother Name*
First Last
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
- Male
- Female
Cast*
Qualification

Contact Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parminent Address*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone-1*
Mobile Phone-2*
Email*
Enter Email Confirm Email
Aadhar No*

Joining Date*
Date Format: DD slash MM slash YYYY
Joining Course Type*
- Private
- Government
Course*
Project Name
Encloed*
- Application
- SSC or 10th
- Inter
- Graduate
- Post Graduate
- Cast
- Ration
- Bank Book First Page
- Photos

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