Date :29-03-2024 

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New Member Registration Form

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Basic Details
Full Name *   
Nick Name
Gender *   
      Program *   
Branch *  
DOB *(D/M/Y)    
Year of Passing *  
Country
State
Place
PIN
Phone/Mobile *  
E-Mail *   
Parent Mobile *  
Employment Details
Company Name
Designation
Department
Country
State
Place
PIN
Mobile
E-Mail
Login Details
User ID *   [Preferably your Hall ticket Number]
Password *  
Confirm Password*  

 

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