Enrollment form for spoken English course
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Student ID (which is written in the identity card, example: B.A/19/1234) *
Salutation *
Name in full *
Gender *
Date of birth (DD/MM/YYYY) *
Email ID *
Marital status *
Father's name *
Mother's name *
Guardian's name *
Religion *
Category *
Disability *
If disable, please mention type of disability (Locomotor Disability, Leprosy Cured Person, Dwarfism,Acid Attack Victims, Blindness/Visual Impairment,Low-vision (Visual Impairment), Deaf, Hard of Hearing,Speech and Language Disability, Intellectual Disability /Mental Retardation,Autism Spectrum Disorder, Specific Learning Disabilities, Mental Behavior-Mental Illness, Haemophilia, Thalassemia, Sickle Cell Disease, Deaf Blindness, Cerebral Palsy, Multiple Sclerosis, Muscular Dystrophy )
Aadhar ID *
Mobile number *
Educational level *
Year/Semester of the student *
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