PT education

Personal Details

Register now! Please enter all information below to quickly create a new account for you to process your order. This is required.
This form is to be filled ONLY if you have paid through Net Banking, Bank Deposit, Cheque, DD etc. and NOT if you have made online payment (CC Avenue) or C.O.D. mode.

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	First Name *	*
	Last Name *
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	Other number(s)
	Your Present Profession *	* *
	Address Line 1 *	*
	Address Line 2 *	*
	Pin Code	*
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	Please upload PROOF OF PAYMENT upto 500 kb size. Thanks! *

* You can choose Hindi courseware or English courseware. Videos are same in both cases.

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