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User Registration Form
Fields marked with the asterisk (*) are mandatory
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--Select--
School
Regional Centre
Student Registration Division
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Name of the User
*
User Name !
Father/Husband Name
*
--Select--
Father
Mother
Husband
Select Guardian !
*
Enter Guardian Name
Date Of Birth
*
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Gender
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Male
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Others
Address
*
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City
*
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State
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Pin
*
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Email
*
Enter Email ID !
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Mobile
*
Enter Mobile No.!
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User Name
*
Enter User Name !
Password
*
Must have atleast 1 Alphabet and 1 Number. Accepts 8 to 16 characters.
Enter Password !
Must be matched with above password guidelines
Confirm Password
*
Please Confirm Password !
Password must contain: Minimum 8 characters atleast 1 Alphabet and 1 Number and must be Alphanumeric
Password not match !
User Designation
*
---Select---
JAT
ASSISTANT
Sr. ASSISTANT EXECUTIVE
ASSISTANT EXECUTIVE (DP)
EXECUTIVE (DP)
ASSISTANT DIRECTOR (SOFTWARE)
DEPUTY DIRECTOR (SOFTWARE)
ASSISTANT REGISTRAR
REGIONAL DIRECTOR
REGISTRAR
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User Type
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--Select--
Regular
Contractual
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User Photo
*
Required !