Harsha Instituitons
193/4, Harsha Hospital Campus, Sondekoppa Circle, NH 4, Nelamangala, Bengaluru – 562 123, Karnataka
Registration Form
“Student information and Address”
Student Full Name
SEX
D.O.B
E-Mail
Father's Name
Course
Any Minority(Y/N)
Caste
Occupation Of Parent/Gaurdian
Hobbies
Contact Number
Alternate Contact Number
Present Address
Address
City/Town
Post Office
Police Station
State
Country
PIN
Permanent Address
Address
City/Town
Post Office
Police Station
State
Country
PIN
Educational Background
10th
Appearing/Qualified
Appearing
Qualified
Board
Subjects
Marks Obtained
Total Marks
%/CGPA
Division
12th
Appearing/Qualified
Appearing
Qualified
Board
Subjects
Marks Obtained
Total Marks
%/CGPA
Division
Others+
Others Coure Name
Appearing/Qualified
Appearing
Qualified
Board
Subjects
Marks Obtained
Total Marks
%/CGPA
Division
I /We pledge that all information provided here with is true to the best of my knowledge.
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