Student Registration Form

Please Enter Applicant's Details:  
Category:  
First Name: *
Middle Name: 
Last Name:  
Full Name:  
Mobile Number:*
Email ID:*
Date of Birth:*   
State of 10th Board:  
10th Board Certificate Number:  
Year of passing 10th Board:  
Upload 10th Certificate File must be in pdf format, not more than 3MB size. No special characters, space allowed in name of file.
Aadhar Number:*     OR Enrollment ID:* 
Upload Aadhar Card File must be in pdf format, not more than 3MB size. No special characters, space allowed in name of file.
Password:*  
Retype Password: (Password must contain one digit(0-9), one special character(@,#), and one Capital letter and should not be less than 8 characters)
Captcha
Change the CAPTCHA codeSpeak the CAPTCHA code
 
 
                                                                                                                                          
 
Elderline NCW MGandhi nhapoa mygov1 CPGRAMS PMAGY gramswarajabhiyan makeinindia india-gov Elderline NCW MGandhi nhapoa