Student Registration Form

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

(max 30 characters a-z and A-Z)

PIN CODE

(6 digit number)

STATE

(max 30 characters a-z and A-Z)

COUNTRY

HOBBIES

Drawing Singing Dancing Sketching
Others

QUALIFICATION

Sl.No.	Examination	Board	Percentage	Year of Passing
1	Class X
2	Class XII
3	Graduation
4	Masters
	(10 char max)	(upto 2 decimal)

COURSES
APPLIED FOR

BCA B.Com B.Sc BA

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