Student Registration

01. First Name *

02. Last Name *

03. Mailing Address *

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04. City

05. Country

06. Gender

07. Date of Birth *

08. Student email address *

Confirm student email address *

09. Password *

Confirm Password *

10 . Subject *

** If you selected “Other” please mention

11. Mother’s/ Father’s / Guardian’s Name

12. Mother’s/ Father’s / Guardian’s email

13. Mother’s/ Father’s / Guardian’s Telephone No.

14. Student’s Telephone Number

15. Student’s WhatsApp Number

Comments

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Declaration *I hereby declare that the above information is true and correct.

****OFFICIAL USE ONLY **** Your page >>>>> Once you have registered, your page link will appear here.