Student Registration Form

Student Registration Form
Student's Name *

Prefix First Name Last Name
Age *
Designation *
Student, businessman, artist, professional, govt. employee, housewife etc.
Guardian's Name (if student is a minor)

First Name Last Name

Address *

Mobile Number *
Alternate Number
if any
E-mail
If any
Instrument *

Guitar Classical Guitar Bass Guitar Piano Keyboard Vocal Dance Others
Course *

Contemporary Indian Classical Western Classical
Branch *

Guwahati Shillong Bangalore Other
Previous course(s) in music (if any)
Signature (your full name) *
Type your full name in the box
Should be Empty:

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