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STUDENT REGISTRATION FORM

            
FIRST NAME:             (max 30 characters a-z and A-Z)


LAST NAME:              (max 30 characters a-z and A-Z)


DATE OF BIRTH:       


EMAIL ID:                  


MOBILE NUMBER:      (10 digit number)


GENDER:                    Male Female


ADDRESS:                 


CITY:                          


PIN CODE:                 


STATE:                        


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

COURSES
APPLIED FOR:            BCA B.Com B.Sc B.A

                                                                   


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