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Welcome

Welcome {{logInuser.firstName}}

Fields marked with * are mandatory


Instructions

Insructions goes here

Course Detail

Selected Course

Packages/Individual Product
Note : Make your own package selecting any products from the Product List.
SNO Subject/Package Type Price Buy
{{index+1}} {{product.title}} {{(product.type?product.type.valueAlias:'')}} {{product.mrp}} /-- Select Added    

Selected Product = {{this.selectedProduct.cost}}   +  Added Product = {{cartTotal}}

{{preSelectedProduct.title}} ₹ {{preSelectedProduct.cost}}/-

Ex-Student Of Institute

Are you old Student of This Institute * : Yes      No

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{{ errors.first('exProgram') }}

Address

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{{ errors.first('city') }}
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{{admissionSetting.more.address.fields.permanentAddress.label}}

Same as correspondence address
*

Father's Details

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{{ errors.first('fatherAge') }}
{{ errors.first('fatherEmail') }}
{{ errors.first('fatherMobile') }}
{{ errors.first('fatherQualification') }}
{{ errors.first('fatherOccupation') }}
{{ errors.first('fatherDesignation') }}
{{ errors.first('fatherNationality') }}
{{ errors.first('fatherAadharNumber') }}
{{ errors.first('fatherAnnualIncome') }}

Mother's Details

{{ errors.first('motherName') }}
{{ errors.first('motherAge') }}
{{ errors.first('motherEmail') }}
{{ errors.first('motherMobile') }}
{{ errors.first('motherQualification') }}
{{ errors.first('motherOccupation') }}
{{ errors.first('motherDesignation') }}
{{ errors.first('motherNationality') }}
{{ errors.first('motherAadharNumber') }}
{{ errors.first('motherAnnualIncome') }}

Sibling's Details

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{{ errors.first('siblingAge') }}
{{ errors.first('siblingInstitute') }}
{{ errors.first('siblingStandard') }}

Medical History

Birth History

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{{ errors.first('ifNICU') }}

Hearing

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{{ errors.first('hearingConsultation') }}

Vision History

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{{ errors.first('visionConsultation') }}

Mile Stones

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{{ errors.first('standing') }}
{{ errors.first('walking') }}
{{ errors.first('speech') }}
{{ errors.first('medicationForMedicalCondition') }}
{{ errors.first('medicationForWellBeing') }}
{{ errors.first('medicationForalergy') }}

Miscellaneous

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Emergency Contact Details

{{ errors.first('emergencyName') }}
{{ errors.first('emergencyMobile') }}
{{ errors.first('emergencyRelation') }}

Upload Photo

Product Details

Details of product you selected for registration

Program/Product Session Total Amount
{{selectedProduct.title}} {{selectedProduct.session.name}}  {{products[registerData.productIndex].cost}} /--
{{allRelatedProducts[product].title}} 2018-19  {{allRelatedProducts[product].cost}} /--
Total  {{orderData.total}} /--
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Payment Details

Choose payment option and method to get register

{{(paymentOptions[activePmtOptionIndex].amount)}} /-- {{(paymentOptions[activePmtOptionIndex].amount)}}/-
{{fh.error}}