Student Services Registration
All fields marked with * are compulsory required.
Name of Applicant :
*
Address :
*
District :
--SELECT--
AHMEDABAD CITY
AHMEDABAD RURAL
AMRELI
ANAND
ARAVALI
BANASKANTHA
BHARUCH
BHAVNAGAR
BOTAD
CHHOTA UDEPUR
DADARA AND NAGAR HAVELI
DAHOD
DAMAN
DANG
DEVBHUMI DWARKA
DIV
GANDHINAGAR
GIR SOMNATH
JAMNAGAR
JUNAGADH
KHEDA
KUTCH
MAHESANA
MAHISAGAR
MORBI
NARMADA
NAVSARI
PANCHMAHALS
PATAN
PORBANDAR
RAJKOT
SABARKANTHA
SURAT
SURENDRANAGAR
TAPI
VADODARA
VALSAD
Tal/Mun/Corp :
--SELECT--
*
City/Village :
--SELECT--
*
Pincode :
*
Phone No :
STD Code :
*
Phone No :
*
Mobile No :
*
E-mail :
*
Enter E-mail again :
*
Eg.(xyz@abc.com)
Type the numbers you see in the picture below.
86180
Note :
After sucessfully submiting this form you will get mail on above mentioned email address with Login URL , Login Name and Password
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