ONLINE REGISTRATION  
 
First Name :
   
     
Last Name :  
     
Gender :  
     
Date of Birth :  
 
(DOB should be in MM/DD/YYYY format. eg: 12/30/1989)
 
   
Age :  
     
Father/Guardian's Name :  
   
     
Student's Present Full Address :     
 
     
Student Permanent Address :  
 
     
Student's Mobile Number :        
     
Father/Guardian's Mobile Number :         
     
Home Phone Number :     
     
E-mail Address :    
     
Educational Qualification :  
     
Course Selected :     
     
Computer knowledge :  
 
 
     
Your Latest Photo :       
     
     
     
I agree to the Terms and Conditions