Registration Form

 

 

 

 

 

 

First

Middle

Family

 

 

 

 

Name

 

 

 

 

 

First

Middle

Family

Father's Name

 

 

 

 

 

First

Middle

Family

Mother's Name

 

 

 

 

 

Date

Month

Year

Date of Birth

 

 

 

 

Present Address

 

 

 

 

 

 

Phone No.

 

 

E-mail

 

 

Stream

 

 

 

 

 

 

Examination

Year

%age 

Name of the Board/University

 

 

 

 

High School

Intermediate

Graduation

Post-Graduation

Any Other

Choice of Course

 

 

Choice of Session

 

 

Rank (if any)