Student Registration Form

STUDENT REGISTRATION FORM

APPLICATN 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 B.A