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CHINHAT CAMPUS BARABANKI CAMPUS JANKIPURAM CAMPUS RATANKHAND CAMPUS EDUCATION

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Online Registration

  1. Online Registration

Course Online Registration Form


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Student Personal Details

Select Course *

Candidate First Name *

Candidate Last Name

Gender *

Whether belonging to General/SC/ST/OBC *

Date of Birth *

Nationality *

Religon *

Aadhar Card No


Address For Communication

Address *

Pin Code

City *

State *

Country *

Permanent Residential Address


Same as above    

Address *

Student's Contact Details

Mobile No.*

Alternate Mobile No.

Email (If any)

Guardian Personal Details - Guardian 1

Name of Father *

Father / Guardian Contact No.

Name of Mother *

Mother Contact No.

High School or Equivalent Details

Year of Passing

Roll No.

Board / University

Marks Obtained

Percentage (%)

Div / Grade

Subject

Intermediate or Equivalent Details

Year of Passing

Roll No.

Board / University

Marks Obtained

Percentage (%)

Div / Grade

Subject

Graduation Details

Year of Passing

Roll No.

Board / University

Marks Obtained

Percentage (%)

Div / Grade

Subject

Other Exam Details

Year of Passing

Roll No.

Board / University

Marks Obtained

Percentage (%)

Div / Grade

Subject

Permanent Residential Address


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Call us +91 8400133333

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