Registration Form: Tera Academy of Professional Education
Registration Form: Tera Academy of Professional Education
Photograph
REGISTRATION FORM
TERA ACADEMY OF PROFESSIONAL EDUCATION
STUDENT DETAILS
NAME:
____________________________________
CONTACT NUMBER
____________________________________
EMAILID:
____________________________________
PRESENT ADDRESS:
____________________________________
____________________________________
PERMANENT ADDRESS:
____________________________________
____________________________________
DATE OF BIRTH:
____________________________________
EDUCATIONAL DETAILS
PROFESSIONAL QUALIFICATION: tick the appropriate one
BE/BTECH/MSc
MTECH
DIPLOMA
Completed
Pursuing
BRANCH:
____________________________________
NAME/ADDRESS OF COLLEGE:
____________________________________
____________________________________
CGPA
____________________________________
____________________________________
CLASS X PERCENTAGE
____________________________________
Students Signature
________________
DATE:
Students Signature
_______________