Student Registration Form

Personal Details

Full Name*

Date of Birth*

Gender*

Category*

Father's/Guardian's Detail

Father's Name*

Mother's Name*

Occupation

Mobile No.*

Residence No.

Course Details

Select Mode*

Select Course

Session

Communication Details

Email*

Mobile No.*

Phone No.

Present Address

Address*

City/Town*

Other City

Pincode*

If Permanent Address same as Present Address

Permanent Address

Other City

City/Town

Address

Pincode

Identity Proof Details

Identity Proof*

Card No.*

Name of card holder*

Aadhaar Photo 144×144px

Upload Aadhaar Card Photo* (image, 144×144 px, 15–300 KB)

Photo

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Upload Your Photo (144×144 px, 15–100 KB)

Additional Information

How do you know about us?*

Please specify:*

I Agree Terms & Conditions

Registration Successful!