Student Registration
	Full Name	:
	User Name	:
	Password	:
	Re-enter Password	:
	Address	:
	Mobile
	Phone	:
	Email	:
			Please Enter Valid Email Address
	Blood Group
	Receive Correspondence through		Email Y N	SMS Y N	Postal Y N
	Examination Status
	CPT		Y N
	PCC		Select PCC-GR1 PCC-GR2 PCC-BOTH None
	Final		Select Final Group1 Final Group2 Final Both None
	Enter Code Displayed in Image	: