FASTWAY NETPLUS
Shining Star-2017
Customer Name:
Contact Number:
Address:
Email ID:
STB No:
Name of Child:
Mother's Name:
DOB of Child DD-MM-YYYY:
Board (PSEB CBSE ICSE)
Name / Add of school:
%/CGPA Secured:
If Scored 100% in any subject
Future stream plan ( Med/Non Medical/Comm/Arts)