Student Registration Form

Student Registration Form
Saptarishi Online Tutorial

(A unit of Saptarishi Education)

www.saptarishiedu.co.in
Additional documents for registration

Get the document with you during registration of Online Form.

•Field is mandatory mark as *.

• Certified Birth Certificate
• School ID Card
• Current Proofs of Residence (ex. power, water or gas bill)
• Other
Student Information
Date

DayMonthYear
Date
Student's photo (.jpeg/.jpg/png)

File Size 50kb-2.9Mb
Cancelof
Student Name*

First NameLast Name
Birth Date *

DayMonthYear
Gender*
Nationality*
School Information
School Name*
City*
State*
Board*
User Email Address*
example@example.com
Parent mail Email Address*
example@example.com
Grade*
Subject*

MATHENGSSTPS
Have you previously applied to or attended this Institute ?

YesNo
If yes, what year?
Current Residence Information
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Cell Phone Number*