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ALL INDIA RED CROSS COUNCIL
Student Registration Form
Branch Name:
*
Please select
AIRCC - HEAD OFFICE
Course Name:
*
Please select
BASIC FIRST AID CERTIFICATE (₹ 1400.00)
LIFE SAVING FIRST AID & CPR TRAINING (₹ 1850.00)
EMERGENCY CARE & FIRST AID (₹ 2500.00)
ADVANCE FIRST AID & CPR (₹ 3500.00)
Name:
*
Father Name:
*
Mother Name:
*
Email:
Mobile Number:
*
Date of Birth:
*
Full Address:
*
Student Image:
*
Signature:
*
Aadhar Front
*
Aadhar Back:
*
10th Marksheet:
*
12th Marksheet:
*
Other Document:
*
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