GENERAL INFORMATION


Name Of the student *
Address *
City *
Exam Center *
State *
Pin *
Father's / Mother's Name *
Parent's Mobile No. *
Father's Occupation
Mother's Occupation
Student Date of Birth *
Student's Mobile No.
Student/Parent's Email-Id *
Category
Annual Income *
1L
1L to 2L
3L to 5L
5L to 8L
8L and Above

EDUCATIONAL INFORMATION

Name of School *
Educational Board *
CBSC
State Board
ICSE
IGCSE
Class *
8th 9th 10th
Percentage / Grade
Any Other Scholarship
Achievements
Applied for Any Other Coaching Center *
YES
NO
If Yes ,Please Mention

Refere to your Friends

a) Student Name :
b) Class :
c) Contact No. :
d) School Name :
a) Student Name :
b) Class :
c) Contact No. :
d) School Name :
a) Student Name :
b) Class :
c) Contact No. :
d) School Name :
a) Student Name :
b) Class :
c) Contact No. :
d) School Name :

Tearm & Conditions

  1. All deposits and course fee paid through any mode is non refundable in any circumstances
  2. All materials and services by our institutes are for educational and informational purposes only.
  3. Govt. Taxes and levied taxes are as applicable from time to time are extra.