STUDENT REGISTRATION FORM

FIRST NAME^*

Maximum 30 characters a-z and A-Z are allowed.

LAST NAME^*

Maximum 30 characters a-z and A-Z are allowed.

DATE OF BIRTH^*

Email^* Mobile Number^*

11 digit Number in format xxxx-xxxxxxx

Gender:^*

Male Female

Address^* CITY^*

Maximum 30 characters a-z and A-Z are allowed.

PIN CODE:

6 digit Number

STATE:

Maximum 30 characters a-z and A-Z are allowed

COUNTRY^* HOBBIES:

Drawing
Singing
Dancing
Sketching
Others

Qualification^*

S.No.	Examination	Board	Percentage	Year of Passing
1-	Class X
2-	Class XII
3-	Graduation
4-	Masters
		(10 characters maximum.)	(Upto 2 decimals)

Courses Applied For:

BCA B.COM B.Sc B.A

' * ' are the required fields.