XTR Academy

Student Basic Information

Full Name *

Gender *

Date of Birth *

Age

Mobile Number *

Email Address

Blood Group

Address Details

Address Line 1 *

Address Line 2

City / Town *

District *

State *

Pincode *

Parent / Guardian Details

Parent / Guardian Name *

Relationship *

Parent Mobile Number *

Emergency Contact Number *

Identity & Documents

Student Photo * (Max: 5MB)

School/Club Name

ID Proof Type

ID Proof Number

ID Proof Front Side (PDF Max: 2MB, Image Max: 5MB)

ID Proof Back Side (PDF Max: 2MB, Image Max: 5MB)

Select Your Interests

Choose Categories * (Select at least one)

🏹 Archery

🥋 Karate

🎨 Art

Experience Level *

🌱 Beginner

⚡ Intermediate

🏆 Advanced

Health Information

Any Medical Condition? *

Yes

No

Account Security

Password *

Confirm Password *

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STUDENT REGISTRATION