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Educational Industrial Trip Registration Form
Please fill the form below
1
Step 1
2
Step 2
Student Information:
Student Name
First Name
Last Name
This field is required.Please enter value
This field is required.Please enter value
Student ID:
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Email id:
This field is required.Please enter value
Please enter valid email address
Student section:
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Student Class Grade :
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Parents/Guardian Mobile No:
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Invalid phone number.
The value must be less than or equal to 20
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*
Do you have siblings in the institution:
Yes
No
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Is student is Hostalite/Locality:
Yes
No
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*
Is student suffer from any physical ailment:
Yes
No
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My parents will not have any problem and they have agreed.
My parents will not have any problem and they have agreed.
This field is required.Please enter value
School will not responsible for any student mischief.
School will not responsible for any student mischief.
This field is required.Please enter value
I agree to above all terms and condition.
I agree to above all terms and condition.
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Signature:
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