Student Registration Form PERSONAL INFORMATION Your Name Mobile No. Date of Birth Affix Photograph (Instructions: Less than 1MB size is valid) Permanent Address Area of Interest Country Gender Female Male Other Mobile No. (Alt.) Email id Current Address City State Pincode ACADEMIC/PROFESSIONAL INFORMATION Batch (Passing year) RGUHS Reg. No IF WORKING Name of Firm/Company Designation COA Reg. No IF STUDYING Name of University Program Year of Graduation Share on Facebook Share Share on TwitterTweet Share on Google Plus Share Share on Pinterest Share Share on LinkedIn Share Share on Digg Share