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STUDENT REGISTRATION FORM

FIRST NAME
LAST NAME
DATE OF BIRTH	Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year: 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980
EMAIL ID
MOBILE NUMBER	(10 digit number)
GENDER	Male Female
ADDRESS
CITY
PIN CODE	(6 digit number)
STATE
COUNTRY
QUALIFICATION	Sl.No. Examination Mark Percentage Year of Passing 1 Tamil 2 English 3 Maths 4 Science 5 Social Science (10 char max) (upto 2 decimal)
MEDIUM	Tamil English
GROUP APPLIED FOR	Maths & Computer Science Maths & Biology Commerce & Computer Application Commerce & Business maths History & Geography Automechanic & Computer Technology