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STUDENT REGISTRATION

1. PERSONAL DETAILS ( - )
ENROLLMENT NUMBER *
Student Name *
Father's Name *
Mother's Name
Date Of Birth*
Contact No *
Alt. Contact
Gender *
Marital Status
Medium Of study
Category
Academic Background
Year in which passed
Choose Your Identity Type
Id Number *
Email Id *
State *
District
Permanent Address
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2. COURSE DETAILS
Course Category *
Course *
Enquiry Source
Label

* denotes required field   denotes Form No. already Exist or less than 2 digits    denotes OK
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+4667 Woodland Terrace Folsom, California 916-983-6577.

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