Application of Student Registration * Course Details Select Course Category Select Course category 3 MONTHS COURSES 6 MONTHS COURSES Select Course Name Select Course Name * Choose your Information Student Name Medium ------Select---- English Hindi Select Gender Select Gender Male Female Maritial Status Select Maritial Status Married UnMarried Father Name Mother's Name Select Category Select Category General SC ST OBC Day Select Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Select Month January Febuary March April May June July August September October November December Year Select Year 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Nationality Indian Others Select Religion Select Religion Hinduism Islam Christianism Other Handicapped ----Select---- Yes No Aadhaar Number * Current Address of Student Address Select State Select State Madhya Pradesh Select District Select District Study Centre Address Select Place City Mobile No. Pin Code Email ID * Educational Information Qualifying Exam Board/University Year of Passing Maximum Marks Obtain Marks Add More * Photo and Document Photo Photo ID Proof (Voter ID Card, Admit Card, Adhar Card, School/College ID Card) Note: Image height: 140px & width: 120px. Resolution: 200 DPI
