Student Registration Form for CAMP-S™ Program

Fields marked with * are Mandatory.

Application Number*

Referral Code

Email*

Applicant First Name*

Applicant Last Name*

Upload Photograph*

Blood Group*
---O positiveO negativeA positiveA negativeB positiveB negativeAB positiveAB negative

Qualification / Specialization*

Current Year of Studying*
---First YearSecond YearThird YearFourth YearNot Applicable

College Id* [Max File Size: 300kb]

College Enrolment Number

Upload Aadhar* [Max File Size: 300kb]

Contact Number*

Alternate Contact Number*

Language Proficiency*
EnglishHindiTeluguOriyaKannadaMaratiTamilBengaliBhojpuriothers

CAMP-S Product Category*
---Diploma - ₹ 5000/-Graduate - ₹ 5000/-Post Graduate - ₹ 5000/-

Upload Payment Details*

Payment Reference Number

Amount Paid*

Payment Date*

Form Submit Date*

Remarks

Captcha Verification*