Registration Form
Class X (2026-27) session a Tuition lak lunggulh na hihleh, hiai anuai a mun awngte hoihtak in HU DIM in. (Fill out the form carefully)
STUDENT DETAILS
Student Name
*
Full Name
Nickname
Date of Birth
*
Please select a day
1
2
3
4
5
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27
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31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
Numei or Pasal tel in
EDUCATION DETAILS
Name of School
*
Na school min gelh in.
School's Board
*
Please Select
BSEM (Manipur Board)
CBSE (Central Board)
Na school board min tel in
Mathematics (Course)
*
Please Select
Basic Mathematics
Standard Mathematics
Basic or Advance Mathematics
Which subject do you struggle?
*
Please Select
Science
Mathematics
Science & Mathematics
Haksa na sak penpen
CONTACT DETAILS
Student E-mail
Confirmation Email
myname@gmail.com
WhatsApp Number
*
WhatsApp group a add theih di.
Format: 0000 000 000.
Parent's Contact No.
*
Emergency contact number di.
Format: 0000 000 000.
Guardian Contact No.
*
Emergency contact number di.
Format: 0000 000 000.
Address
*
Street/Road Address
Veng
Veng
Lamka
Postal / Zip Code
Additional Comments
Gennop/kupnop na neih aleh
SUBMIT
Clear Form
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