Duplicate Registration Form

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Name of Registration:*

Name in Full (in capital letter(s)):*

Father's Name in Full:*

Mother's Name in Full:*

Registration No:

Year:

School/College/Institutions where Student was registered:

Email ID:*

Correspondence Address

Village/Town:*

State:*

P.O.:*

Pincode:*

District:*

Mobile No.:*

Whether the said document is to be collected by:*

Purpose for which the document is necessary:*

Document Enclosure

Photo Copy of Registration Card (if any):

Birth Certificate/ADDHAAR Card:

Letter from Institution (s):

Note:

Please upload only PDF,jpg,jpeg file, Maximum file size is 200 KB