Student's Registration Form

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Student's Registration Form

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* Indicates required question

Email *

Your email

THE BRIGHTMATE ACADEMY

Home Tutors/ Online Tutors based educational Institute.

Full Name *

Your answer

Gender *

Choose

Male

Female

Date of Birth *

MM

/

DD

/

YYYY

Father's Name *

Your answer

Mother's Name *

Your answer

Class *

Your answer

Board *

Choose

CBSE

ICSE

STATE BOARD

Required Subject(s) *

Your answer

School's Name *

Your answer

Monthly Class *

Choose

12 Days/Month

16 Days/Month

20 Days/Month

24 Days/Month

Duration *

Choose

1 Hour

1.5 Hour

Address *

Your answer

City with Pin Code *

Your answer

Father's Contact Number *

Your answer

Mother's Contact Number
*

Your answer

Contact Person *

Choose

Mother

Father

Any Other

How did you hear about us?

Your answer

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