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

EMAIL ID

MOBILE NUMBER

GENDER

Male Female

ADDRESS

CITY

(max 30 characters a-z andA-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 XII
3.	Graduation
4.	Masters
		(10 char max)	(upto 2 decimal)

COURSES
APPLIED FOR

BCA B.Com B.Sc B.A

Hi 👋, I'm Hafsa Rana