Student Registration Form Username *Enter User NamePhone *Email *Password *Confirm Password *Street Address *Apartment, House *City *State/Province *ZIP / Postal CodeCountry *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePassport Size Photo *Choose FileNo file chosenDelete uploaded filePassport Size Photograph ( 50 to 150KB )Select GenderSelect GenderMaleFemaleTransgenderSelect GenderMarriageYesNoReligionReligionHinduMuslimSikhChristianJainBodhParsiJeusOtherSelect RelegionSelect Cast *Select CastGeneralOBCSTSCGen/OBC/ST/SCHandicapedNote:-(If no handicaped Ignore this section)ChoseYesNoHandicaped Certificate UploadChoose FileNo file chosenDelete uploaded fileD.O.B. *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Select Date of BirthDocuments & Certificates Upload (PDF, JPEG Only) *Drag and Drop (or) Choose FilesQualification Certificate and other Documents (PDF, JPEG Only)Document select what you uploadMatriculationIntermidiateGraduationCast CertificateOur HigherExtra CericulamAadhar CardPAN CardIncome CertificateResidental CertificateHandicap CertificateSelect DocumentLocal Guardiian Name *Local Guardian Phone No.Local Guardian Contact No for EnergencyAny Comment related to your qalification and certificationNote:After confirmation of payment by Head Office the payment will be returned to your registered email id and contact number and after payment receipt and transaction details are submitted if student does not receive mail or message then send the transaction slip (receipt) of payment along with Aadhar Card to the registered official email id (info@bimsr.com). For more details contact Head Office contact number. ________________________________________________ प्रधान कार्यालय द्वारा भुगतान की पुष्टि के बाद आपके पंजीकृत ईमेल आईडी और संपर्क नंबर पर वापस आ जाएगा और भुगतान के बाद रसीद और लेनदेन विवरण जमा किए गए छात्र को मेल या मेसज प्रातप्त नहीं होता है तो आधर कार्ड के साथ पेमेंट की लेनदेन की परचि (पवती ) को पंजीकृत आधिकारिक ईमेल आईडी (info@bimsr.com) पर भेजें। अधिक जानकारी के लिए प्रधान कार्यालय के संपर्क नंबर पर संपर्क करें। Razor Payment GaywayCleck here payment link CLICK TO PAY CLECK HERE TO QUICK PAY RegisterSave as DraftPlease do not fill in this field.
