Course Registration Page - Vastuvidyagurukulam

SELECT THE COURSE*

Name*

Enter your name here

Date of Birth*

Sex*

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Residential Address*

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Whatsapp Number

Email*

Religion & Caste

Religion Caste

Parent’s/Guardian’s Name& Address*

EDUCATIONAL QUALIFICATION

Name of Exam Passed	Month and Year	Institution / University	% of Marks / Grade

Note :- Attested Copies of the documents (By a gazette officer) should be attached to prove date of birth & Educational qualifications

LANGUAGES KNOWN

Read	Write	Speak

Whether Employed or not (if employed give particulars)

Whether retired from service or not (if retired, give details)

Extra curricular activities

Declaration*

I here by declare that the above mentioned details are true to the best of my knowledge and belief.

Passport Size Photo Upload

Accepted file types: jpg, Max. file size: 1 MB.

Your photograph in digital form with following specification Maximum Size : 30Kb, Image Dimension : 150W X 200H px, Image Type : JPG

Certificate Upload

Accepted file types: pdf, jpg, Max. file size: 1 MB.

Your Certificate in digital form with following specification Maximum Size : 500Kb, Image Dimension : 500W X500H px, Image Type : JPG,PDF

Total

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Comments

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