Document

STUDENT REGISTRATION FORM

FIRST NAME

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

LAST NAME

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

DATE OF BIRTH

EMAIL ID

Mobile Number

(10 digit number)

GENDER

Male Female

ADDRESS

CITY

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

PIN CODE

(6 digit number)

STATE

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

COUNTRY

HOBBIES

Drawing singing Dancing Sketching
Other

QUALIFICATION

Si.no	Examination	Board	Percentage	Year of Passing
1	Class X
2	Class XII
3	Graduation
4	Msters
		(10 char max)	(upto 2 decimal)

COURSES
APPLIED FOR

BCA B.Com B.Sc B.A