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Student Registration Form

Online Student Registration Form :

* indicates compulsory field.
R indicates repetitive information. You have to fill this information only once in a working session. It will be automatically retained in the next Student's Registration Form.
Course details:
Course (I wish to register for) R *
Center R *
Student's details:
Surname   * (Use capital letters only.)
First Name   * (Use capital letters only.)
Middle name   * (Use capital letters only.)
Student's contact no.    
(Please specify STD code with telephone number.)
Educational qualification   *
(Please specify last achieved qualification. Ex. 10th, 12th , Graduation etc.)
Photograph upload   *
Photograph format should be 'jpeg'
Photograph should be of width 80 px & height 107 px
Photograph resolution should be 72 DPI
Photograph size should be less than 25 KB
Date & place :
Date R *
Place R *
R *