Student Registration - E Care Classes

Student Name *

Email Address *

Date of Birth *

Permanent Address *

Current Address *

Class*

BOARD (STATE/CBSE/ICSE)*

Subject(s)*

Name of School*

Name of Father*

Name of Mother*

WhatsApp No to send meeting Link*

Mail Id to send meeting Link*

Parent Mail Address*

Contact No. to send the Bill Details*

Preferred Time for Tution*

Number of Hours per Subject (per week)*

Academic History (Give the marks scored by the student for each subject in the previous academic year)*

Remarks (If any)

Upload Student Photo (Optional):
(Only jpg, jpeg or png files allowed, Max File Size: 2 MB)