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Course Details

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Select Product *

Packages/Individual Product Note : Make your own package selecting any products from the Product List.
SNO	Subject/Package	Type	Price	Buy
{{index+1}}	{{product.title}}	{{(product.type?product.type.valueAlias:'')}}	{{product.mrp}} /--	Select Added

Selected Product = {{this.selectedProduct.cost}} + Added Product = {{cartTotal}}

Student Details

{{admissionSetting.more.firstName.label}} * {{ errors.first('firstName') }}

{{admissionSetting.more.middleName.label}} * {{ errors.first('middleName') }}

{{admissionSetting.more.lastName.label}} * {{ errors.first('lastName') }}

{{admissionSetting.more.email.label}} * {{ errors.first('email') }}

{{admissionSetting.more.mobile.label}} * {{ errors.first('mobile') }}

{{admissionSetting.more.dob.label}} *

{{admissionSetting.more.category.label}} * {{ errors.first('category') }}

{{admissionSetting.more.caste.label}} * {{ errors.first('caste') }}

{{admissionSetting.more.religion.label}} * {{ errors.first('religion') }}

{{admissionSetting.more.nationality.label}} * {{ errors.first('nationality') }}

{{admissionSetting.more.gender.label}} *

{{admissionSetting.more.aadhaarNo.label}} * {{ errors.first('aadharNumber') }}

{{admissionSetting.more.personalImg.label}} *

{{admissionSetting.more.signImg.label}} *

{{admissionSetting.more.bloodGroup.label}} *

{{admissionSetting.more.motherTongue.label}} * {{ errors.first('motherTongue') }}

{{admissionSetting.more.languageKnown.label}} * {{ errors.first('languageKnown') }}

{{admissionSetting.more.urbanOrRural.label}} *

{{admissionSetting.more.distanceFromSchool.label}} * {{ errors.first('distanceFromSchool') }}

Ex-Student Of Institute

Are you old Student of This Institute* : Yes No

{{admissionSetting.more.exStudent.fields.srn.label}} * {{ errors.first('exSrn') }}

{{admissionSetting.more.exStudent.fields.session.label}} * {{ errors.first('exSession') }}

{{admissionSetting.more.exStudent.fields.program.label}} * {{ errors.first('exProgram') }}

{{admissionSetting.more.exStudent.fields.idProof.label}} *

Address Details

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

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

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

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

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

Same as correspondence address

Address*

Land Mark*

City*

State *

Postal Code*

Father's Details

{{admissionSetting.more.father.fields.name.label}} * {{ errors.first('fatherName') }}

{{admissionSetting.more.father.fields.age.label}} * {{ errors.first('fatherAge') }}

{{admissionSetting.more.father.fields.email.label}} * {{ errors.first('fatherEmail') }}

{{admissionSetting.more.father.fields.mobile.label}} * {{ errors.first('fatherMobile') }}

{{admissionSetting.more.father.fields.qualification.label}} * {{ errors.first('fatherQualification') }}

{{admissionSetting.more.father.fields.occupation.label}} * {{ errors.first('fatherOccupation') }}

{{admissionSetting.more.father.fields.designation.label}} * {{ errors.first('fatherDesignation') }}

{{admissionSetting.more.father.fields.photo.label}} *

{{admissionSetting.more.father.fields.nationality.label}} * {{ errors.first('fatherNationality') }}

{{admissionSetting.more.father.fields.aadhaarNo.label}} * {{ errors.first('fatherAadharNumber') }}

{{admissionSetting.more.father.fields.annualIncome.label}} * {{ errors.first('fatherAnnualIncome') }}

{{admissionSetting.more.father.fields.officeAddress.label}} *

Mother's Details

{{admissionSetting.more.mother.fields.name.label}} * {{ errors.first('motherName') }}

{{admissionSetting.more.mother.fields.age.label}} * {{ errors.first('motherAge') }}

{{admissionSetting.more.mother.fields.email.label}} * {{ errors.first('motherEmail') }}

{{admissionSetting.more.mother.fields.mobile.label}} * {{ errors.first('motherMobile') }}

{{admissionSetting.more.mother.fields.qualification.label}} * {{ errors.first('motherQualification') }}

{{admissionSetting.more.mother.fields.occupation.label}} * {{ errors.first('motherOccupation') }}

{{admissionSetting.more.mother.fields.designation.label}} * {{ errors.first('motherDesignation') }}

{{admissionSetting.more.mother.fields.photo.label}} *

{{admissionSetting.more.mother.fields.nationality.label}} * {{ errors.first('motherNationality') }}

{{admissionSetting.more.mother.fields.aadhaarNo.label}} * {{ errors.first('motherAadharNumber') }}

{{admissionSetting.more.mother.fields.annualIncome.label}} * {{ errors.first('motherAnnualIncome') }}

{{admissionSetting.more.mother.fields.officeAddress.label}} *

Sibling's Details

Add More

{{admissionSetting.more.siblings.fields.name.label}} * {{ errors.first('siblingName') }}

{{admissionSetting.more.siblings.fields.age.label}} * {{ errors.first('siblingAge') }}

{{admissionSetting.more.siblings.fields.institute.label}} * {{ errors.first('siblingInstitute') }}

{{admissionSetting.more.siblings.fields.standard.label}} * {{ errors.first('siblingStandard') }}

Remove

Medical History

Birth History

{{admissionSetting.more.medicalHistory.birthHistory.fields.birthDetail.label}} * {{ errors.first('birthDetail') }}

{{admissionSetting.more.medicalHistory.birthHistory.fields.birthCry.label}} * {{ errors.first('birthCry') }}

{{admissionSetting.more.medicalHistory.birthHistory.fields.dischargeInDays.label}} * {{ errors.first('dischargeInDays') }}

{{admissionSetting.more.medicalHistory.birthHistory.fields.specialCare.label}} * {{ errors.first('specialCare') }}

{{admissionSetting.more.medicalHistory.birthHistory.fields.ifNICU.label}} * {{ errors.first('ifNICU') }}

Hearing

{{admissionSetting.more.medicalHistory.hearing.fields.difficulty.label}} * {{ errors.first('hearingDifficulty') }}

{{admissionSetting.more.medicalHistory.hearing.fields.consultation.label}} * {{ errors.first('hearingConsultation') }}

Vision History

{{admissionSetting.more.medicalHistory.vision.fields.useLenses.label}} * {{ errors.first('visionUseLenses') }}

{{admissionSetting.more.medicalHistory.vision.fields.consultation.label}} * {{ errors.first('visionConsultation') }}

Mile Stones

{{admissionSetting.more.medicalHistory.motorMileStone.fields.sitting.label}} * {{ errors.first('sitting') }}

{{admissionSetting.more.medicalHistory.motorMileStone.fields.standing.label}} * {{ errors.first('standing') }}

{{admissionSetting.more.medicalHistory.motorMileStone.fields.walking.label}} * {{ errors.first('walking') }}

{{admissionSetting.more.medicalHistory.motorMileStone.fields.speech.label}} * {{ errors.first('speech') }}

{{admissionSetting.more.medicalHistory.motorMileStone.fields.medicationForMedicalCondition.label}} * {{ errors.first('medicationForMedicalCondition') }}

{{admissionSetting.more.medicalHistory.motorMileStone.fields.medicationForWellBeing.label}} * {{ errors.first('medicationForWellBeing') }}

{{admissionSetting.more.medicalHistory.motorMileStone.fields.medicationForAlergy.label}} * {{ errors.first('medicationForalergy') }}

Miscellaneous

{{admissionSetting.more.miscellaneous.fields.howDidHearAboutInstitue.label}} * {{ errors.first('howDidHearAboutInstitute') }}

Emergency Contact Details

{{admissionSetting.more.emergencyContact.fields.name.label}} * {{ errors.first('emergencyName') }}

{{admissionSetting.more.emergencyContact.fields.mobile.label}} * {{ errors.first('emergencyMobile') }}

{{admissionSetting.more.emergencyContact.fields.relationship.label}} * {{ errors.first('emergencyRelation') }}

Product Details

Details of product you selected for registration

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

Payment Details

Choose payment option and method to get register

Payment Method *

Payment Option *

Payable Amount * {{(paymentOptions[activePmtOptionIndex].amount)}} /-- {{(paymentOptions[activePmtOptionIndex].amount)}}/-

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