Full name

Phone number

Parent Number

Course

State

Full name

Phone number

Parent Number

Course

State

Registration Form

Registration Form

Student Name*

Contact No.*

Alternative No.*

Email.*

Dob*:

Gender*:

Father’s Name*

Mother’s Name*

Father’s Contact No.

Mother’s Contact No.

Address*

City*

State*

Pin*

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College

10th Percentage *

12th Percentage *

Degree/Diploma

Percentage of Degree/Diploma

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