STUDENT REGISTRATION FORM
Name:.
Course Name
Date Of Birth
/
Month
/
Day
Year
Date
Gender
Phone Number
E mail
example@example.com
*
Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Attachment
Please upload the documents mentioned below
Passport
Browse Files
Scan copy of passport
Cancel
of
Qualification
Browse Files
Upload copy of Highest Qualification Certificate
Cancel
of
Photo
Browse Files
Please upload passport photo
Cancel
of
Payment Method
Mode of Payment
Transaction Id
Submit
Should be Empty: