Student's Registration Form

Head Office-1, CHowringhee Square, 700069, Kolkata
Ph: 1800 345 1932 / 6290407816, Email: info@psarkm.org

* STAR fields are mandatory for fillup. (জ্যোতি চিহ্ন ক্ষেত্রগুলি পূরণের জন্য বাধ্যতামূলক)

Choose Centre: *

Choose Course: *

Admission Fees:

Registration Fees:

Candidates Details:

Salutation: *

First Name: *

Last Name: *

Aadhaar Card:

Mobile No.: *

Email ID: *

Father's Name: *

Father's Occupation: *

Father's Contact No.: *

Mother's Name: *

Mother's Occupation: *

Mother's Contact No.: *

Date of Birth: *

Gender: *

Blood Group:

Caste Category: *

Marital Status: *

Religion:

Residential Address:

Street Name with House No.: *

Post Office: *

District: *

Pin Code: *

Police Station: *

State: *

Education Level: *

Experienced: *

Disability: *

Educational Qualifications:

Professional / Technical Qualifications:

UPLOAD DOCUMENTS:

CHOOSE PASSOUT [Min.] *

DECLARATION:

I hereby declare that all the entries made in the form are correct to the best of my knowledge, if any falsification is found in this connection, The Organization has right to cancel the application at any time.

I agree *

UPLOAD SIGNATURE:

UPLOAD RECENT PHOTO: *

TICK THE FOLLOWING: *

PLEASE CHECK THE FILLED UP FORM CAREFULLY ONCE AGAIN BEFORE SUBMISSION.

Student's Registration Form

Head Office-1, CHowringhee Square, 700069, Kolkata Ph: 1800 345 1932 / 6290407816, Email: info@psarkm.org

Head Office-1, CHowringhee Square, 700069, Kolkata
Ph: 1800 345 1932 / 6290407816, Email: info@psarkm.org