Registration

FIRST NAME

(max 30 character a-z and A-Z)

LAST NAME

(max 30 character a-z and A-Z)

DATE OF BIRTH

EMAIL ID

MOBILE NUMBER

(10 digit number)

GENDER

MALE FEMALE

ADDRESS

CITY

(max 30 character a-z and A-Z)

PIN CODE

(6 digit number)

STATE

(max 30 character a-z and A-Z)

COUNTRY

HOBBIES

Drawing Singing Dancing Sketching
Other

QUALIFICATION

SI.NO	EXAMINATION	BOARD	PERCENTAGE	YEAR OF PASSING
2	CLASS X
3	CLASS XI
4	Graduation
5	Master
			(10 char max)	(upto 2 decimal)

COURSES
APPLIED FOR

BCA B.Com B.Sc B.A