Student Registration

Layout & Name

Student Information

10th Roll & No

Aadhar Card No

Student Name

First

Last

Father Name

First

Last

Mother Name

First

Last

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

STATE CODE

BRANCH CODE

Course

Course Code

Gender

Date of Birth

Passport Photo

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Signature

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Language

10th Certificate

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Medical Conditions/Allergies

Extracurricular Activities

Parent/Guardian Information

Parent/Guardian Name

First

Last

Phone

Emergency Contact

Emergency Contact Name

First

Last

Phone

BINARY COMPUTER SAKSHARTA MISSION

Student Information

Parent/Guardian Information

Emergency Contact

AI Assistant