Icon

Student Registration Form


* indicates compulsory field.
* indicates incorrect information
R indicates repetitive information. You have to fill this information only once in a working session.    It will be automatically retained in the next Student�s Registration Form.
 
ATC details:
Name of the ATC R *
District R *
Center’s Contact No. R *
(Please specify STD code with telephone number)
Center’s Email Address R *
Course details:
Course Name (I wish to register for…) R *
(Please give full name of course)
Course Duration R * (months)
Student’s details:
Sr. No. R * (Please start from 1 for each session)
Surname   * (Use capital letters only.)
First Name   * (Use capital letters only.)
Middle name   * (Use capital letters only.)
Student's contact no.
(Please specify STD code with telephone number.)
Educational qualification   *
(Please specify last achieved qualification. Ex. S.S.C., H.S.C., B.A. etc.)
Photograph upload   *
Photograph format should be 'jpeg'
Photograph should be of width 80 px & height 107 px
Photograph resolution should be 72 DPI
Photograph size should be less than 25 KB
 
Date & place :
Date R * (dd-mm-yyyy)
Place R *
R *
 
 
Resubmit
 
*If you have submitted same student's information before, and you need to resubmit this information for corrections, you should click this check box.

*Please read the Instructions Set carefully before you use Resubmit facility.
 
 
 
I have finished students' registration and wish to quit without filling payment details.

I want to register more students. Submit this form and continue for next registration.

I have finished registering my students. Submit this form and go to Payment's Details form.