Student Registration — Sri Rama Disha

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Student Details

Personal information about the student

Full Name *

Please enter student's full name

Date of Birth *

Please select date of birth

Gender *

Please select gender

Current Class / Grade *

Please select class

📱 Student Contact

Student Email ID * (used for login & report delivery)

Please enter a valid email address

Student Mobile Number *

🇮🇳 +91

Please enter a valid 10-digit mobile number

WhatsApp Number (if different from mobile)

🇮🇳 +91

Report will be sent to this number. If blank, student mobile is used.

Student's Home Address *

Please enter address

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Parent / Guardian Details

Primary contact for communication and sessions

👨 Father / Male Guardian

Father's Full Name *

Please enter father's name

Occupation

Mobile Number *

🇮🇳 +91

Please enter a valid number

WhatsApp Number (if different)

🇮🇳 +91

Father's Email ID

Report and updates will be sent to this email too

👩 Mother / Female Guardian

Mother's Full Name

Occupation

Mobile Number

🇮🇳 +91

WhatsApp Number (if different)

🇮🇳 +91

Mother's Email ID

📬 Communication Preferences

How should we reach you? *

💬 WhatsApp 📞 Phone Call ✉️ Email 📲 SMS

Please select at least one communication method

Best time to contact

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Academic & Counselling Information

Helps us tailor the counselling session to your child

School / College Name *

Please enter school name

Board / University

Current Stream / Branch

Last Exam Percentage / CGPA

Career areas the student is currently considering (optional)

💬 Counselling Session Preference

Preferred Session Mode *

Please select session mode

Preferred Session Language

Any specific concerns or questions for the counsellor? (optional)

📤 Report Delivery Preferences

How should we send the career report? * (select all that apply)

✉️ Student Email 💬 Student WhatsApp ✉️ Parent Email 💬 Parent WhatsApp 📥 Download only

Please select at least one delivery method

Where did you hear about Sri Rama Disha?

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Review & Confirm

Please check all details before submitting

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Registration Successful!

Welcome to Sri Rama Disha Career Compass.
By the grace of Sri Moola Rama and Sri Raghavendra Swamy,
may your child find their rightful path.

📌 What happens next:
Our team will review the enrollment within 24–48 hours.
A confirmation email has been sent to you and to our admin.
Login access will be activated after admin approval.
Watch your inbox — you will receive an approval notification shortly.

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📝 Student Registration