Students Registration Form

Basic Information
Name Of Candidates*

First NameLast Name
Father Name*
Gender*

MaleFemale
Upload Your Passport Size Picture *

Upload a File
File should be in jpg format Cancelof
Profession
NIC # *
Date Of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell No*
E-mail*
Person to contact in case of emergency:*
Parent/Guardian
Relationship*
ex. Father, Mother, etc.
Address of person to contact in case of emergency*
Contact details of person to contact in case of emergency*

Academic Background
Qualification*
Curriculum Vitae or Experince Certificate*

Upload a File
File should be in jpg, pdf, doc/docx format. Cancelof
Other Extra curricular activities
Interests*
Do you have any scholarship?*

YesNo
Do you want to intrest in any other course.If Yes, to what course?
Suggestions / Comments
Enter the words shown:*
Should be Empty:

Online Admisssion Form