{{Abt.Name}}
{{Abt.Address}}
Personal Information
First Name
*
Middle Name
Last Name
*
Gender
*
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Date of Birth
(Age: {{newRegistration.DOB_ADDet.age}})
Birth Certificate No
{{'CAST_LNG' | translate}}
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Nationality
Religion
Contact No.
*
Email
Course
*
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Shift
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SLC/SEE
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Plus 2
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Photo
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Parents Detail
Father Name
*
Professsion
Contact
Mother Name
Professsion
Contact
Guardian Name
Relation
Contact
Contact Details
Permanent Address
Full Address
*
Province
District
Local Level
Ward No.
Street Name
Current Address
Same as Permanent Address
Full Address
Province
District
Local Level
Ward No.
Street Name
Previous College Detail
Name of Previous College
Address of Previous College
Secured % or GPA
Qualification
Optional first and obtained Grade ?
Optional second and obtained Grade ?
Additional Details
Student's Achievements(if any)
Any disease he/she is suffering from?
Yes
No
What is the Problem ?
What is the Present Condition?
Still Suffering
Improving
Completely Recovered
Transport Faciltity Required?
Choose Pickup Station
2
3
4
5
Hostel Required?
Choose Hostel Type
Full Time
Day Boarders
Tiffin Required?
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2
3
4
5
Tution Facility Required?
Yes
No
IELTS/PTE/ToEFL Score
Registration Source
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Attach Documents
Type Of Document
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Description
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S.No.
Document Type
File Size
Description
Action
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{{ac.Description}}
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