PANDIT JAWAHARLAL NEHRU EDUCATIONAL SOCIETY

Nikkuwal Morh PO Jhinjri Tehsil Anandpur Sahib Dist. Rupnagar Punjab 140116 India
Info.bge@gmail.com

STUDENT REGISTRATION

State*

District*

Study Centre*

Course Category*

Duration*

Course Name*

Name*

Father's Name*

Email ID*

Mother's Name*

Date of Birth*

Religion*

Marital Status *

Husband/Spouse Name

Qualification*

Gender *

Category*

Mobile Number*

Address*

City*

Pin Code*

Passport Size Color Photo*

Note:Image height:140px & width:120px,Resolution:200DPI

ID Proof*

Note:(Voter Card,Adhaar Card, Admit Card,School/College ID)