Template - Registration/Mobilization
Student Details
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Email *
College Name *
College District *
Parents Contact Number
Student Name *
Date of Birth (for Example 02-May-2000) *
MM
/
DD
/
YYYY
Student Age *
Gender *
Caste Category
Clear selection
Student Contact Number (WhatsApp) *
Alternative Contact Number *
Select your state  (Student Residential State) *
Disrict name (Student Residential District) *
Pin Code (Students Residential Pin Code) *
College Registration Number  or Exam Roll Number *
Select Type of ID Proof *
ID Proof Number *
Next
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