Student Registration Form | The Apex Institute

Student Registration Form / छात्र पंजीकरण फॉर्म

Privacy note: This demonstration does not submit or save your information. Use fictional sample values only; do not enter real Aadhaar numbers or other sensitive personal information.

Personal Details / व्यक्तिगत विवरण

First name / पहला नाम *

Last name / उपनाम

Father's name / पिता का नाम

Mother's name / माता का नाम

Date of birth / जन्म तिथि

Course applied for / पाठ्यक्रम *

Aadhaar / ID No. (demo field only)

Gender / लिंग

Mobile / मोबाइल

Email / ईमेल

Date of admission / प्रवेश तिथि

Photo (local selection only) / फोटो

Address / पता

City / शहर

State / राज्य

Country / देश

PIN code / पिन कोड

Hobbies / रुचियाँ Drawing / चित्रकला Singing / गायन Dancing / नृत्य Sketching Other / अन्य

Qualifications / शैक्षणिक योग्यता

Class X board

Class X percentage

Class X passing year

Class XII board

Class XII percentage

Class XII passing year

Graduation institution/board

Graduation percentage

Graduation passing year

Master's institution/board

Master's percentage

Master's passing year

After filling the form, choose Preview demo. / फॉर्म भरकर Preview demo दबाएँ।

Correction / सुधार: The uploaded form had malformed table rows, missing quotation marks, misspelled attributes and no working form wrapper. This version uses semantic labels and a responsive layout. It only previews selected details and does not store or send them.

← All additional practicals