Student Registration Form

Personal Detail

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First Name
Middle Name
Last Name
Date of Birth

Related Detail

Gender	Male
	Female
Aadhaar Number
Contact Number
Email-ID
City Location
District	-----District----- Hooghly Howrah South 24PGS North 24PGS
State
Qualification Status
10th Completed
12th Completed
Graduation Completed
Post Graduation Completed

Other Detail

Create Username
Create Password
Confirm Password