INSTITUTE FOR CAREER STUDIES
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Student Registration
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First Name:
Middle Name:
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Last Name:
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Class:
Select Class
7th
8th
9th
10th
11th
12th
Bachelor’s & above
Section:
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School:
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Mother's Name:
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Father's Name:
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City:
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Pin:
Landline No.:
Mobile No.:
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Gender:
Male
Female
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Date of Birth:
you must select Date of Birth
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Username/Email ID:
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Password:
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Confirm Password:
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Choose Payment Option:
Online Payment
Offline Payment
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Select Payment Mode:
Select Payment Mode
DD Sent Through Courier/Post
Cheque Sent Through Courier/Post
Cheque Deposited in Bank
Cash Deposited in Bank
Other
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DD Date:
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DD Number:
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Issuing Bank:
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DD Amount (Rs):
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Cheque Date:
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Cheque Number:
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Issuing Bank:
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Cheque Amount (Rs):
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Cheque Date:
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Cheque Number:
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Issuing Bank:
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Cheque Amount (Rs):
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Bank Name & Branch where cheque is deposited:
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Date of deposit of cheque in above bank:
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Cash Amount Deposited (Rs):
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Bank Name & Branch where cash deposited:
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Date of deposit of cash in above bank:
Instruction
: If you have paid the amount through RTGS or Net Banking, please mention the transaction details in given box below.
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Bank Name:
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Account Name:
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Account Number:
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Amount (Rs):
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Date of transaction:
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