Registration | Parth Knowledge Network Pvt. Ltd. |

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REGISTRATION FORM

Select option

Existing ALC

Center Code*
Verify
Co-ordinator Name*

Area*
Email ID*

Mobile Number*
Alternate Mobile Number*

District Name*
Taluka Name*

Village Name*

Username*
Password*

Address*

GST No.
PAN No.

Referral Code

Agree with the terms and conditions

School/College

Name of School*
Principle/Teacher Name*

School Medium*
Area*

Email ID*
Mobile Number*

Alternate Mobile Number*
District Name*

Taluka Name*
Village Name*

Username*
Password*

Address*

GST No.
PAN No.

Referral Code

Agree with the terms and conditions

Classes

Name of Class*
Teacher Name*

Medium*
Area*

Email ID*
Mobile Number*

Alternate Mobile Number*
District Name*

Taluka Name*
Village Name*

Username*
Password*

Address*

GST No.
PAN No.

Referral Code

Agree with the terms and conditions

Individual

Name of Student*
Name of School*

School Medium*
Area*

Email ID*
Mobile Number*

Alternate Mobile Number*
District Name*

Taluka Name*
Village Name*

Username*
Password*

Address*

GST No.
PAN No.

Referral Code

Agree with the terms and conditions