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Student Registration Form

This document is a student registration form for the IAPT-MTA-PRMO 2018 examinations. It requests that students between classes 8-12 born after August 1, 1999 provide their name, gender, date of birth, school details, address, contact information, and signature to register. Once completed, the form and payment should be submitted to the student's school or institution, who will provide an acknowledgment with a registration number and signature.

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332 views1 page

Student Registration Form

This document is a student registration form for the IAPT-MTA-PRMO 2018 examinations. It requests that students between classes 8-12 born after August 1, 1999 provide their name, gender, date of birth, school details, address, contact information, and signature to register. Once completed, the form and payment should be submitted to the student's school or institution, who will provide an acknowledgment with a registration number and signature.

Uploaded by

klkhgu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

IAPT – MTA – PRMO 2018

Student Registration Form


Students born after 01/08/1999 and studying in classes 8th , 9th , 10th , 11th and 12th who wish to appear for the IAPT-MTA-PRMO
2018 Examinations are to fill the below given details only in BLOCK LETTERS and hand over the Registration Form to their School/
Institution.

Name of the Student : .……………….……………………………………………………………………………………..........................


(As per School records)

Gender : (Male / Female)

Class / Standard : .……………….…………………………………………………………………………………….........................

DD MM YYYY
Date of Birth :
DETAILS OF THE SCHOOL IN WHICH STUDENT IS STUDYING
School Type : KV JNV OTHERS (Tick in appropriate school type)

School Name : .……………….……………………………………………………………………………...........……….............................

School Place : .……………….……………….......................……… Pin Code : ......................................................

INDIVIDUAL STUDENT’S DETAILS FOR CORRESPONDENCE

Residential Address : ………….…………............................................................................................................

...................................................... City : ......................................................

District : ..................................................... State : .......................................................

Pin Code : ..................................................... Mobile No : .........................................……………

E-Mail ID : .……………….…………………………………………………………………………………….........................

Declaration: I hereby declare that the details furnished herein are true to the best of my knowledge.

Date:

Place: (Signature of the Student)

Acknowledgment (To be handed over to the Student)

Applied for IAPT-MTA-PRMO 2018 Received Rs.............../-

Centre Registration No.: ………………. Institution Seal Signature of Centre In-charge


Note: Confirm your registration status through “Check your registration status” within seven working days
after submission or else check with the respective Institution.

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