Student Registration Form
Basic Information
Name
Please enter your name.
Gender
Male
Female
Please select your gender.
Email
Please enter a valid email address.
Password
Please enter a password.
Confirm Password
Passwords do not match.
Contact Information
Phone Number
Please enter a valid 10-digit phone number.
Address
Please enter your address.
City
Select a City
Salem
Chennai
Hosur
Please select a City.
Pincode
Please enter a valid pincode.
Other Information
Start Date
Start date must be before the end date.
End Date
End date must be after the start date.
I agree to the terms and conditions
You must agree to the terms and conditions.
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