Coaching Classes Admission Form Word Format -

Course applying for (tick one): [ ] IIT-JEE (Main+Advanced) [ ] NEET (UG) [ ] FOUNDATION (8th-10th) [ ] BOARD (11th-12th) [ ] COMMERCE (CA/CS/CMA) [ ] CLAT / LAW [ ] OTHER: ___________________

SECTION A: STUDENT PERSONAL DETAILS

SECTION D: COACHING & COURSE DETAILS

School/College Name currently attending: ________________________________________________ Medium of Instruction: English / Hindi / Other: ___________ Have you ever failed in any exam? Yes / No (If yes, details): _________________________ coaching classes admission form word format

Full Name (as per school records): ______________________________________________________ Date of Birth: ___________ Age: ___________ Gender: M / F / Other Blood Group: _______ Aadhaar Number (optional): _________________ Nationality: _______________ Category: General / SC / ST / OBC / Other (specify): ___________ Physically Challenged: Yes / No (If yes, specify disability): _________________ Email ID: __________________________________ Mobile No.: ___________________ Alternate Contact No.: ______________________ WhatsApp No.: ________________ Course applying for (tick one): [ ] IIT-JEE

I, the parent/guardian of the above-named student, certify that all information provided is true and correct to the best of my knowledge. I agree to abide by the rules, regulations, fee structure, and attendance policy of the coaching institute. I understand that the admission may be cancelled if any information is found false. I understand that the admission may be cancelled

SECTION E: SCHOOL/OFFICE USE & DOCUMENTS UPLOAD/ATTACHED