STUDENT REGISTRATION FORM
FIRST NAME
(max 30 characters a-z and A-Z)
LAST NAME
(max 30 characters a-z and A-Z)
DATE OF BIRTH
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
January
Feburary
March
April
May
Year:
1999
2000
2001
2002
2003
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
SI.No.Examination
Board
Percentage
Year of Passing
1. Class X
2.Class Xll
3.Graduation
4.Masters
(10 char max)
(upto 2 decimal)
COURSES
APPLIED FOR
BCA
B.Com
B.Sc
B.A