Academic Course Registration
Personal Details
Full Name *
Mobile *
Father's Name
Mother's Name
Date of Birth
Gender
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Male
Female
Other
Education
Current Institution
Class / Year
Highest Qualification *
--Select--
10th
12th
Diploma
Bachelor
Master
Course Applying For *
Preferred Mode
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Offline
Online
Hybrid
Contact & Address
District / City
Address
Documents (Uploads)
Aadhaar Number
Upload Aadhaar (optional)
Upload Certificate of Last Class *
Other
Any notes
Consent
I agree that information provided is correct.
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Submit Registration
Files saved to:
reg_form_academic/uploads