Student Registration

FIRST NAME * Student Name! Remove Space
LAST NAME
DATE OF BIRTH * Date of Birth Invalid Date!
APPLYING FOR CLASS * Please Select For Applied Class!
PREVIOUS PASSED CLASS
PREVIOUS SCHOOL
ACADEMIC SESSION(to which admission is sought) * Please Select Your Academic Session!
GENDER * Please Select Gender!
Email
Category * Please Select Category!
Nationality * Enter Nationality!
Upload Student Image(Passport Size) * Size 1 MB Max Image!
Upload Student Birth Certificate * Size 1 MB Max Birth Certidficate!

Parent Information

FATHER NAME * Please Enter Father Name!
FATHER OCCUPATION * Please Select Father Occupation!
MOTHER NAME * Please Enter Mother Name!
MOTHER OCCUPATION * Please Enter Mother Occupation!
ANNUAL INCOME * Please Enter Annual Income!
RESIDENTIAL ADDRESS * Please Enter Home Address!
STATE * Please Select State

CITY * Please Select City
IS THE CHILD SUFFERING FROM ANY AILMENT OR DISEASE, IF SO GIVE DETAILS
MOBILE(which is on Whatsapp and Text messsage) * Please Enter Mobile No.! Please Enter Ten Digit Mobile No only
ALTERNATE MOBILE NUMBER Please Enter Ten Digit Mobile No only

Transaction ID^*

Amount^{(should be float)*}

First Name^*

Email ID^*

Phone^*

Product Information^*

Success URL^*

Failure URL^*

UDF1

UDF2

UDF3

UDF4

UDF5

UDF6

UDF7

UDF8

UDF9

UDF10

Split Payments

Address 1

Address 2

City

State

Country

Zip-Code

Show Payment Mode

Sub Merchant Id