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
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
EMAIL ID
MOBILE NUMBER
(10 Digits Numbers)
GENDER
Male
Female
ADDRESS
CITY
(max 30 characters a-z and A-Z)
PIN CODE
(6 Digits Numbers)
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.A
B.Sc
B.Com