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Student Registration Form
1. Student Detail
State
:
Select State
UP
MP
Bihar
Karnatka
Delhi
Punjab
Odisha
Gujarat
Goa
Andhra Pradesh
Arunachal Pradesh
Asam
Chattisgarh
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Kerala
Telangana
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Pondicherry
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttrakhand
West Bengal
District
:
Select City
Branch Name
:
Select Branch
Address
:
Trade
:
Select Trade
CERTIFICATE_COURSE
DIPLOMA_COURSE
OTHER_COURSES
PG_COURSES
POST_GRADUATE_DIPLOMA_COURSE
SHORT_TERM_COURSES
UG_COURSES
Course
:
Select Course
Stream
:
--Select Stream--
SCIENCE
INFORMATION_TECHNOLOGY
MANAGEMENT
ART
VOCATIONAL_TRAINING
ALLIED_HEALTH_SCIENCE
TEACHERS_EDUCATION
Session
:
Select Session
2013
2013-14
2014
2014-15
2015
2015-16
2016
2016-17
2017
2017-18
2018
2018-19
2019
2019-20
2020
2020-21
2021
2021-22
2022
2022-23
2023
2023-24
2024
2024-25
2025
Student Name
*
:
Father's Name
*
:
Mother's Name
*
:
Date of Birth
*
:
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Address
*
:
Mobile No
*
:
Gender
*
:
Male
Female
Category
*
:
Select Category
Gen
OBC
SC
ST
Minority
Pin Code
*
:
2. Educational Qualification
SN
Examination Name
Borad
Year
Stream
Percent/Grade
1
2
3
3. Please attach all required document (.jpg, doc, docx) only
Photo
*
Note :(.jpg) only and not more than 50Kb.
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