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.
Save and Proceed
Terms And Conditions
1. Each candidate is permitted to register only once for a specific course.
2. All payments are final and non refundable.
3. Ensure payment should be done before registration form deadline.
4. Registration process will complete after payment only.
All payment information is securely processed, and your privacy is protected.
I/We fully agree by all the policies, rules and regulations of the institutions.
proceed to payment