Register | Career Shaper

Student Details :

First Name ^* {{ errors.first('firstName') }}

Last Name ^* {{ errors.first('lastName') }}

Email ^* {{ errors.first('email') }}

Mobile ^* {{ errors.first('mobile') }}

Gender ^* {{ errors.first('gender') }}

Date of Birth ^*

Parents Details :

Father Name ^* {{ errors.first('fatherName') }}

Father Mobile No. ^* {{ errors.first('fatherMobileNumber') }}

Photos :

Passport Size photo^*

Signature Photo^*

Program Details :

Course^* :

Stream^* :

Class Program^* :

Center^* :

Correspondence Address

Address {{ errors.first('Correspondance Address') }}

Land Mark ^* {{ errors.first('landmark') }}

City ^* {{ errors.first('city') }}

State ^* {{ errors.first('state') }}

Postal Code ^* {{ errors.first('pincode') }}

PERMANENT ADDRESS Same as correspondence address

Address

Land Mark ^*

City ^*

State ^*

Postal Code ^*

PERSONAL DETAILS

First Name^* {{registerData.user.firstName}}

Last Name ^* {{registerData.user.lastName}}

Email^* {{registerData.user.email}}

Mobile^* {{registerData.user.mobile}}

Gender^* {{registerData.user.gender}}

Date of Birth^* {{registerData.user.dob}}

Father Name^* {{registerData.user.father.name}}

Father's Mobile^* {{registerData.user.father.mobile}}

Correspondence Address

Address^*

Landmark^* {{registerData.user.address.landmark}}

City^* {{registerData.user.address.city}}

State^* {{registerData.user.address.state}}

Postal Code (PIN)^* {{registerData.user.address.postalCode}}

Permanant Address

Address

Landmark {{registerData.user.permanentAddress.landmark}}

City {{registerData.user.permanentAddress.city}}

Postal Code (PIN) {{registerData.user.permanentAddress.postalCode}}

PHOTOS

Passport Size photo^*

Signature photo^*

Course^* {{courses[registerData.course].valueAlias}}

Stream^* {{streams[registerData.stream].valueAlias}}

Session^* 2018-19

Classroom Program^* {{selectedProduct.title}}

Program/Product	Session	Total Amount
{{selectedProduct.title}}	2018-19	{{products[registerData.productIndex].cost}}

Payment Details

Payment Method:

Payment Option:

Have Discount Code?

Discount:

Payable Amount:

{{(pmtOptAmount)}}/- {{pmtOptAmount}} - {{discountAmt}} = {{(pmtOptAmount-discountAmt)}}/-

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Student Details :

Parents Details :

Photos :

Program Details :

Correspondence Address

PERMANENT ADDRESS Same as correspondence address

PERSONAL DETAILS

Correspondence Address

Permanant Address

PHOTOS

Payment Details