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APPLICATION FORM
Personal Details
COURSE
Academic Year
Name of the Student
Student Email Id
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Date of birth
Nationality
Religion:
Blood Group:
Address for Communication
with City, Country & Pin Code *
Local Guardian's Mobile No:
Local Guardian's Name:
Address
Mobile:
Attach Your Image:
ACADEMIC DETAILS
Qualified Examination Passed
Registration No:
Year of passing
Class/Grade obtained
Board/University
Subjects Studied
DECLARATION
Declaration
I/we pledge that all information provided herewith is true to the best of our knowledge. I/we fully agree to abide by all the policies, rules and regulations of the institution and in case of non-confirmation would accept the verdict of the institution as the final. I/we also understood and accept that in case of discontinuation of the course for any reasons, I/we shall forgo the entire fee including deposits paid to the institution and not to claim any reimbursements of compensations. I assure and ready to pay the remaining fees of whole course.