LiveExamIndia : Student Signup

Student Register

Franchise & Voucher Details

Franchise *

You will be Register in this Franchise

Voucher *

Student Details

E-Mail *

Password *

Confirm Password *

Student Personal Details

First Name *

Middle Name

Last Name

In Certificate, shows Like "FirstName MiddleName LastName"

Gender

Male Female

Birth Date

Image *

Maximum Allowed Image Size : 500KB & Optimum Image Dimention : Width: 200px / Height: 200px

Student Address/Contact Details

Address 1

Address 2

Address 3

City

Pincode

State

Country

Phone (Residence)

Phone (Office)

Mobile *

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