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Student Registration

Verify Certificate

STUDENT REGISTRATION

STUDENT NAME :	Enter your name.
BIRTH DATE:
ADDRESS :
CITY :
PIN CODE :
district :
STATE :
PHONE (With STD Code) :
MOBILE :
E-MAIL :
SEX :
QUALIFICATION :
COURSE NAME :
DURATION (In Months) :
WHERE YOU COMPLETED COURSE :
NAME OF EXAM CENTER :
PROPOSED EXAM DATE :