JBEG ||Jai Bundela Education Group

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STUDENT ADMISSION FORM
Welcome for Registring with JaiBundela Education Group, It's Free and Simple Process
Course:	* Select a Course
Center Code:	* Center Code Required
Student Name:(As 10th Mark Sheet)	*Student Name Required
Father's Name	*Father's Name Required
Mother's Name	*Mother's Name Required
Gender:
Date Of Birth:(As 10th Mark Sheet)	* Date Required / Month Required / Year Of Birth Required (DD / MM / YYYY) Ex: 22/12/1981
Address:
State:	* Select a State
City:	*City Required
Contact No 1:	* Contact No. Required *Invalid Mobile No
Contact No 2:
Email Id:	* Invalid EmailId
ID Proof No (Adhaar/Voter Id/Pan):
Last Qualification:
Photo/Image:(Maximum 50kb Passport size)	* Select a Photo Required
Terms and Conditions:	I, hereby declare that the particulars submitted by me in the online admission form of JBEG are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of JBEG and also to the decision of JBEG regarding any action. I will not held JBEG responsible for any damages. I also declare that i am fit in physically and mentally for Yoga courses. Terms and Conditions are required.

STUDENT ADMISSION FORM