Coordinator Panel – JS Bright Education

Coordinator Registration

Registration fee ₹3,500 (non-refundable)

1. Personal Details

Full Name *

Father / Husband Name *

Date of Birth

Gender

Highest Qualification *

Signature scan (optional)

Profile Photo *

JPG/PNG, max 2MB. Shown on your coordinator ID card.

2. Contact Information

Address *

City *

State *

PIN Code *

Mobile *

Email (login) *

3. Login Password

Password *

Confirm Password *

8+ characters with uppercase, lowercase, number and special character.

4. Registration Fee

I have paid the registration fee of ₹3,500 (non-refundable) I agree to the terms & conditions of JS Bright Education