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STUDENT REGISTRATION FORM

Student Name..
Date of Birth.. Age.. Gender

Present Address

PHOTO

Permanent Address

Education Qualification Details


COURSE

UNIVERSITY/COLLAGE

YEAR OF PASSING

% MARK

ID proof submitted
Voters ID

Driving License

Pan Card

Passport

Course details
6 Month

3 Month

2 Month

1 Month

Declaration
I hereby declare that the above furnished information is true to my knowledge
Date
Place

Student sign

For Office use only


Student ID No. Course Duration.
Course fee (Total). Intake Done by.
Trainer Detail Batch No
Date of Batch Started
Authorized Seal and Sign

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