Student Registration – JS Bright Education

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JSBE Institute

Student Registration Form

Student Full Name *

Father's Name *

Mother's Name *

Email Address *

Mobile Number *

Date of Birth *

Gender *

Qualification *

Marital Status *

Signature scan *

Used on your admission form. JPG/PNG, max 2MB.

Create Password *

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Address Details

Street Address *

State *

City *

Nearest Branch *

Referral Code (Optional)

Referral Code (optional — enter if someone referred you)

🎁 You get 5% discount on your first course enrolment

Profile Photo

Profile Photo * (required — appears on certificate & marksheet)

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Click to upload your photo

JPG or PNG • Max 2MB • Required