ONLINE REGISTRATION FORM
Degree interested in :
Diploma in Guidance and Counselling
*
First Name
:
Middle Name
:
*
Last Name
:
*
Date Of Birth
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
*
Gender
:
Male
Female
*
Category
:
SELECT CATEGORY
SC
ST
FC
OBC
WWC
General
*
Shipping/Billing Address
:
Please Note - We cannot Ship/Bill to P.O. Boxes
*
City
:
*
State
:
*
Country
:
Choose Country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Hercegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Belarus
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
St. Helena
Saint Kitts and Nevis
St. Pierre and Miquelon
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
USSR
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Tutuna Islands
Western Sahara
Yemen, Republic Of
Yugoslavia
Zaire
Zambia
Zimbabwe
*
Zip / Pin Code
:
*
Email
:
(ISD/STD/Phone)
Phone (Office)
:
Residence
:
Fax
:
Mobile
:
*
Best time to call
:
AM
PM
*
Time Zone
:
Choose one
Alaska Time - AKST
Arizona - MST
Atlantic Time - AST
Central Time - CST
Eastern Time - EST
Hawaii - HST
Indiana - EST
Mountain Time - MST
Pacific Time - PST
Universal Time - GMT/UTC
Universal Time - GMT/UTC + 1
Universal Time - GMT/UTC + 2
Universal Time - GMT/UTC + 3
Universal Time - GMT/UTC + 4
Universal Time - GMT/UTC + 5
Universal Time - GMT/UTC + 6
Universal Time - GMT/UTC + 7
Universal Time - GMT/UTC + 8
Universal Time - GMT/UTC + 9
Universal Time - GMT/UTC + 10
Universal Time - GMT/UTC + 11
Universal Time - GMT/UTC + 12
Please Select the highest level of education that you have
completed
*
Choose Level of
Education
:
Choose Level of Education
10+2
B.A
B.S.C
Lateral Entry
:
Yes
Which Semseter/Year
Choose Any
Credit Transfer
:
Yes
Which Semseter/Year
Choose Any
Mode of Payment
:
Online
Offline
*
I Agree
*
Required Field
Please note that we only support the US-English character set. In order to ensure
that your transaction is processed correctly, please refrain from using International
Characters.