REGISTRATION FORM

Registration No. Reg. Date

Centre Code Batch Code
Courses Code Batch Time Passport size
Study Centre photo

Course Applied for

Name of the Candidates

Father’s Name
Mother’s Name
Date of Birth
Gender Male Female Other
Address

Pin Code
Mobile No. + 9 1
Email ID

Class Achieved Board

10th
12th
Graduation

________________Student Signature _________________Parent Signature

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