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Trimax
Balrama House
Karampura Commercial Complex
New Delhi 110015
I
ndia
Student Registration
Dear Student, please fill the required information in the form below. This information will be shared with the participating US Institutions, who will then contact you directly.
Name
*
:
Sex :
Select One
Male
Female
Email
*
:
Date of Birth
*
:
Contact number
*
:
Correspondence
Address Line1
*
:
Address Line2 :
Current Education
qualification
*
:
Year of completion
*
:
Work experience
*
:
Would you be applying for :
Under Grad
Post
Grad / Masters
Others
What term will you be applying for :
Select One
Fall
Winter
Spring
Select Year
2009
2010
Other information:
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