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New Student Registration

All fields marked with * are mandatory
Registration Number :  201201\XX\XX   
Date of Registration  :  5/20/2012 (Month/Day/Year)
Student Registration
First Name * : Last Name* :
Father's Name * : Mother's Name :
Date of Birth :
(Month/Day/Year)
Telephone :
Contact Address * : Mobile No * :
Fax No :
Village/Town/City * :
District :
State * :
Pin : Email Address * :
Password * : Confirm Password * :
  Academic Qualifications *














 
   Sex

   Category *



  
  Student Belongs to


   Medium



   Main Subject *
   Year Of Passing *
   Division *
(1,2,3,4) for Pass
   % of marks *
   Board Code
   Nationality *

   Marital Status *

   Religion *








   Whether Minority *

   Social Status *


   Whether Kashmiri Migrant *

   Whether Person With Disability *

   Nature Disability *




   Employment Status *



   Annual Scholarship Amount
   

   Family Income (Yearly)*
   
   Dept.Offering Scholarship *

   Below Poverty Line *

Course Category * :
 
Course Name * :
Mode *   Government Employee :
Branch and Payment Details

Course Duration : Scheme :
Branch Code * : Branch Manager :
Declaration
  I hereby declare that the particulars furnished above are true to the best of my knowledge and belief. I have read the prospectus and rules and regulations. I hereby promise to abide by them