ONLINE REGISTRATION FORM

CANDIDATE DETAILS

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(as on 01-06-2022)
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ACADEMIC AND REGISTRATION

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Resend OTP

FAMILY DETAILS

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* Temporary Registration details will be sent to this Email Address
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OTP VERIFICATION

STUDENT DETAILS VERIFICATION

CANDIDATE DETAILS

Aadhar Number : First Name : Middle Name :
Last Name : Gender : Date Of Birth :
Age : Country : Nationality :
State : District : Mother Tongue :
Optional Language : Religion : Caste :
Community : Blood Group : Pickup Point :

ACADEMIC AND REGISTRATION DETAILS

Academic Year : Syllabus : Class :
Birth Country : Birth State : Birth District :
Birth Place : Entrance Date : Date Of Application :
Admission Type :
Siblings List

FAMILY DETAILS

Parent Name : Relation : Profession :
COMMUNICATION ADDRESS
Comm. Address : Comm.Zip Code : Comm. Mobile No. :
Comm. Phone No. : Comm.Email :
PERMANENT ADDRESS
Permanent Address : Permanent Zip Code : Permanent Mobile No. :
Permanent Phone No. : Permanent Email :
OFFICE ADDRESS
Office Address : Office Zip Code : Office Mobile No. :
Office Phone No. : Office Email :
Instructions:
1.Online Registration is only completed on Payment if applicable.
2.Auto filled Registration form will be sent to communication email id as attachment.
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