ZS Education Centre

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Z.S. Education Centre

Student Full Name

Date Of Birth

Gender

Nationality

Father Name

Mother Name

Address For Corrspondence

Parmanent Address

Mobile No

Email Id

Your Selected Institute or University

Academic Details

Degree/Diploma	Name of the Institute	Exam Date	Subject / Specialization	Results Grades / Percent

Exam Option

Course Name

Course Fee

Mode Of Payment