Register Student | demo Final

Course^* :

Stream^* :

Test Package^* :

Center^* :

PERSONAL 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 ^*

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

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

Mother Name ^* {{ errors.first('motherName') }}

Category ^* {{ errors.first('category') }}

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 ^*

ACADEMIC DETAILS

Course	Name of College/City	Passing Year	% Marks
B.E./B.Tech.^*	{{ errors.first('College Name') }}	{{ errors.first('Passing Year') }}	{{ errors.first('Percentage') }}
M.E./M.Tech.
Other

Are Have you attempted the Exam(GATE/IES) in the previous year* : Yes No

Rank in GATE

Rank in IES

Attended IES Interview

Yes No

Are you old Student of This Institute* : : Yes No

Enrollment No.

Session

ID Proof

Are you Currnet Student of This Institute* : : Yes No

Enrollment No.

ID Proof

PHOTOS

Passport Size photo^*

Signature Photo^*

Terms & Conditions

I {{registerData.user.firstName}} {{registerData.user.lastName}} applying for admission in programme of the institute for session 2018-19. I certify that information given by me is true to the best as my knowledge & belief. I understand that if anything is found false/incorrect at any state, my Candidature / admission to the course shall be cancelled without any refunds. I shall abide by all the rule & regulations of IES Master. Also, If I get selected in any competitive examination IES Master can publish and display my name and photograph on its website, promotional material (all medium of promotions i.e. newspaper, online on air etc.
I have read the ‘Term & Conditions’ of the institute given and agree to abide by the same.

(Signature of Student)

Accept Terms & Conditions.

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

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

Session^* 2018-19

Program/Package^* {{selectedProduct.title}}

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}}

Mother's Name^* {{registerData.user.mother.name}}

Category^* {{registerData.user.category}}

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}}

ACADEMIC DETAILS

Course	Name of College/City	Passing Year	% Marks
B.E./B.Tech.^*	{{registerData.user.pastCourses[0].college}}	{{registerData.user.pastCourses[0].year}}	{{registerData.user.pastCourses[0].marks}}
M.E./M.Tech.	{{registerData.user.pastCourses[1].college}}	{{registerData.user.pastCourses[1].year}}	{{registerData.user.pastCourses[1].marks}}
Other	{{registerData.user.pastCourses[2].college}}	{{registerData.user.pastCourses[2].year}}	{{registerData.user.pastCourses[2].marks}}

Have you attempted the Exam(GATE/IES) in the previous year* : YesNo

Rank in GATE {{registerData.user.pastExams[0].rank}}

Rank in IES {{registerData.user.pastExams[1].rank}}

Attended IES Interview Yes No

Are you old Student of IES Master* : : YesNo

Enrollment Number {{registerData.user.exStudent.srn}}

Session Year {{registerData.user.exStudent.session}}

ID Proof Id Proof

Are you Currnet Student of This Institute* : : YesNo

Enrollment Number {{registerData.user.currentStudent.srn}}

ID Proof Id Proof

PHOTOS

Passport Size photo^*

Signature photo^*

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)}}/-

Registration

Registration

PERSONAL DETAILS

Correspondence Address

PERMANENT ADDRESS Same as correspondence address

ACADEMIC DETAILS

PHOTOS

Terms & Conditions

PERSONAL DETAILS

Correspondence Address

Permanant Address

ACADEMIC DETAILS

PHOTOS

Payment Details