REGISTRATION FORM
ADMISSION FOR: ____________________________________________________
CANDIDATE NAME: (FIRST NAME): _______________________________(LAST NAME): _____________________
FATHER NAME:_________________________________________________________________________________
MOTHER NAME:________________________________________________________________________________
DOB:________________________________________________________________________________________
CENTER NAME:_________________________________________________________________________________
LAST QUALIFICATION
th
10 :_________________________________________________________________________________________
th
12 :_________________________________________________________________________________________
GRADUATION:_________________________________________________________________________________
POST GRADUATION:____________________________________________________________________________
MOBILE NO.:____________________________________EMAIL:_________________________________________
ADDRESS:_____________________________________________________________________________________
________________________________________________STATE:________________________________________
COURSE:______________________________________________________________________________
ADMISSION DATE:_____________________________SESSION:___________________________________
FEE STATUS____________________________________________________________________________
APPLICANT STATUS
WORKING:_____________________________________ FRESHER:______________________________
NOTE
1. Please check enrollment details at our website for any type of correction kindly email us immediately.
2. Without any registration fee no admission considered from our side.
3. If you given us fake and false details then your enrollment number will be delete automatically from our side.
4. After enroll if you cancel your admission so you have to pay cancelation charges 1000rs.
5. After complete your course session your online enrollment detail will be deleted automatically on our website. For
further verification you can verify your details through our official email id.
APPLICANT NAME & SIGN DATE