1.Date of Registration
*
-
Month
-
Day
Year
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2.PreferredTuition
*
Home Tuition
Class Room Teaching
3.Student Name
*
First Name
Last Name
4.Student Mobile No
*
5.School
*
6.Class
*
1st Standard
2nd Standard
3rd Standard
4th Standard
5th Standard
6th Standard
7th Standard
8th Standard
9th Standard
10th Standard
11th Standard
12th Standard
7.Preferred Board
*
State Board
CBSC
8.Preferred Subjects
*
Tamil
English
Hindi
French
Mathematics
Science
Social Science
Physics
Chemistry
Botany
Zoology
Computer Science
Commerce
Accountancy
Business Mathematics
Economics
9.Preferred mode of Study
*
Week days
Weekend days
10.Preferred Time to Study
*
Morning
Evening
11.Father / Mather Name
*
12.Father / Mather Mobile No.
*
13.Alternate Mobile No
*
14.Enter the message as it's shown
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