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Registration Form

"प्रथम पग - First Step" Foundation Program

Class 8 to 12 + Defence & Merchant Navy - Year 2024 - 2025

Registration fee:*

Intereted to Join:*

Full Name:*

Gender:*

Dob* (Date of Birth as recorded in the Matriculation/Secondary Examination Certificate)

Day

Month

Year

Aadhaar Card no.:*

Father's Name*

Father's Occupation*

Mother's Name

Mother's Occupation

Students Mobile No*

Parents Mobile No*

Father*

Mother

Student E-mail ID*

Residence Address*

Class X^th

School Name

Board

Educational Qualification (fill as per requirement)*

Exam	Board	Year of Passing	Subject	Total %age
VII^th
VIII^th
IX^th
10^th Pass
10^th Appearing				Expected %age

Note: Candidate those are waiting for their results can write their expecting percentage.

DECLARATION I here by declare that all the information as given above are correct to the best of my knowledge and belief. I understand and will follow all the decision of the institution with regard to conduct good discipline and best training. I further declare that in the event of any information being found false or incorrect. My candidature / course is liable to be rejected / terminated without notice.

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Upload Aadhaar Card:(Max Size 5 MB, Only jpg, png allowed)