Student Registration - Perfect English Institute

Student Registration Form

Complete this form to register for your chosen course. Fields marked with * are required.

Course Information

Select Course *

Personal Information

Full Name *

Father's Name *

Mother's Name *

Date of Birth *

Nationality *

Aadhaar Number (Optional)

Contact Information

Contact Number *

WhatsApp Number (Optional)

Email Address *

Emergency Contact (Optional)

Emergency Contact Relation (Optional)

Address Information

Present address is required. Permanent address is optional (same as present address if not provided).

Present Address

Present Address *

Pincode *

Permanent Address (Optional - Click to expand)

Permanent Address

Pincode

Education Information (Optional)

10th Standard Details (Optional)

Percentage (%)

Year of Passing

Board/University

12th Standard Details (Optional)

Percentage (%)

Year of Passing

Board/University

Stream

Current Education (Optional)

School/College Name

Affiliated To

Stream/Department

Class/Year Studying

Additional Qualifications

Terms & Conditions

I hereby declare that the information provided is true and correct to the best of my knowledge. I agree to the Terms & Conditions and Privacy Policy of Perfect English Institute. *

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