Student Registration
First Name
*
Last Name
*
Mobile Number
*
Email
*
Please provide your email. You will use this to login subsequently.
Password
*
Confirm Password
*
Permanent Address
*
Adhaar Card Photograph
*
Highest Educational Qualification
*
10th pass
12th pass
Graduate
Post Graduate
Other
Passport Size Photograph
*
Date of Birth
*
Caste Category
*
Mother Name
*
Father Name
*
Highest Qualification Marksheet/Certificate
*
State
*
District
*
Aadhar Number
*
I accept the
Terms and Conditions
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