Student Registration – nugindia.com

Student Registration Form

Nexgen Institute • Jalandhar, Punjab

01 Personal Details

Student Full Name *

Parents / fee concession * Concession options need a supporting document (PDF or photo).

Supporting proof document * Upload death certificate, court order, affidavit, or other official proof.

Father Name *

Mother Name

Mobile Number *

Alternate Mobile

Email Address *

Date of Birth *

Gender *

Qualification *

Marital Status *

02 Account & Signature

Signature scan *

✎

Upload, capture, or draw your signature

Auto background remove & crop available

Sign on white paper for best background removal. PNG/JPG, max 2MB.

Create Password *

03 Address Details

Street Address *

State *

City *

Pin Code *

04 Course & Batch Timing

Choose Course(s) *

Select one or more courses. They will appear on your admission form separated by commas.

Basic Acupressure Training Diploma in Acupressure Therapy Master Diploma in Acupressure Therapy

Study Mode *

Offline Online

Online registrations get the institute stamp on the admission form automatically. Offline forms leave the stamp area blank for manual stamping.

Batch Timing * Morning 10:00 AM – 12:00 PM, or evening 4:00 PM – 6:00 PM.

Course Fee Summary

Payment plan

No. of installments

Admission fee paid now

Custom admission amount (Rs)

Balance of 1st month fee is due within 5 days of registration.

05 Referral & Photo

Referral Code (optional — leave blank if none)

Profile Photo * (appears on certificate & marksheet)

📷

Upload or capture your passport-style photo

JPG or PNG • Max 2MB • Crop available

Registration Successful!