Online Form Registration- Motion Education Pvt. Ltd

Online Registration Form

Fill all form fields to go to the Next Step

Personal Information

Address Details

Academic Information

Confirm & Preview

Personal Information : Step 1 - 4

Name^*

Student's Contact No.^*

Father's Name^*

Father's Contact No.^*

Mother's Name

Mother's Contact No.

Student's Aadhaar No.

E-mail

Date of Birth^*

Gender

Parent Occupation

Family Income

Category^*

Nationality ^*

Personal Information : Step 2 - 4

Permanent Address^*

State^*

District^*

City^*

Pin Code ^*

Same as Permanent Address

Local Address ^*

State ^*

District ^*

City^*

Pin Code ^*

Acadmic Information: Step 3 - 4

Class^*

Board^*

Medium Enrolled For^*

10^th % ( Only 10th Pass)

12^th % ( Only 12th Pass)

Course^*

Program

Previous School Name ^*

State (School)

District (School)

Pin Code (School)

Center

Amount to be Paid

Rs. 1000 Rs. 800

Confirm Details: Step 4 - 4

I hereby declare that I have read the Terms & Condition. The details mentioned above in the form are correct to the best of my knowledge and belief. I will bear the responsibility if any error or mistake occurs in the data.

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