India International Student Card (IISC)

                                    Online Registration Form

                                Name   

                                   Sex     Select Male Female

                   Mother Name     

                        Student ID     

                   Date of Birth        ( MM/DD/YYYY)

                      Nationality         Blood Group   

  School/College Name  

                                   City                  Pin code   

                Home Address   

                                 City               Pin code    

     Phone  (With STD Code)         Mobile             

                          Email-ID     *

                              DD No    

                     Bank Name    

       I do hereby declare that all information provided above are true and to the best of my knowledge. I am aware that any false Information may lead to the automatic cancellation of my IISC Card discount & Privileges. I also agree to intimate any changes in the above information if any, from time to time to SUN DEV INFO PLUS PVT.LTD.