STUDENT REGISTRATION FORM

1. APPLICANT'S FULL NAME: (max 30 characters a-z and A-Z)
2. FATHER'S NAME: (max 30 characters a-z and A-Z)
3. MOTHER'S NAME: (max 30 characters a-z and A-Z)
4. DATE OF BIRTH:
5. CATEGORY:
6. EMAIL ID:
7. MOBILE NUMBER: (10 digit number)
8. GENDER:
9. ADDRESS:
10. CITY: (max 30 characters a-z and A-Z)
11. PIN CODE: (6 digit number)
12. STATE: (max 30 characters a-z and A-Z)
13. QUALIFICATION: (max 30 characters a-z and A-Z)
14. COURSES
APPLIED FOR:
15. PLEASE SUBMIT FEES: (Submit your fee at institute cash counter)
16. YOUR REGISTRATION NUMBER IS: (Note: Admission will be confirmed after submit course fee)
17. Upload Photo your image
18. Upload Signature your Signature
19. Upload Left Hand Thumb Impression your Left Hand Thumb image