Admission Form
Dear Student / Parent please read rules and regulations first and then submit correct and Vvalid information for admission. If any information submitted found wrong / invalid will be reponsbility of Student/Parent.
Academic Information
| Academic Session | Academic Year | ||
| Applying For | Coaching Classes Tutor | Course Opted | Board Competition Both |
| Language / Medium | Hindi English | Board | U.P.Board CBSE ICSE ISC Other |
| Admission in class | IX X XI XII | Class Passed | IX X XI XII |
| Subjects | Physics Chemistry Maths Zoology Botany Computer Science Comerce English | ||
Personal Information
| Student Name | Father's Name | ||
| Mother's Name | Father's Occupation | ||
| Mother's Occupation | Sex | Male Female Other | |
| Date of Birth In DD-MM-YYYY | Category | Gen OBC SC ST Other | |
| Nationality | Sibling Details |
Address / Contact Information
| Permanent Address | |||
| State | Address | ||
| Citry / District | PIN | ||
| Contact No. Student | Contact No. Parents | ||
| Local Address | |||
| State | Address | ||
| Citry / District | PIN | ||
| Local Guardian Name | Local Guardian No. | ||
| Guardian Office Address | Guardian Office No. | ||
Current / Previous Academic Information
| Name of School / College | Appeared Apearing | ||
| Date of Joining | Last year Percentage % | ||
| Have you been a student of Career Tutorial | Yes No | ||
| If yes please give your class and year | |||
Payment Information
| Fee option | Yearly / Annualy Half-Yearly Quaterly Monthly Installments | ||
| Date of Registration / Admission | Need Concession in fee | Yes No | |
Rules And Regulations
- Admission Fee Rs. 500/- will be charged at the time of Admission.
- Fee once paid will not be refunded under any circumstances.
- Student not abiding the rules & regulations could be expelled from the coaching any time.
- Student has to submit a photocopy of last year mark sheet/report card with 2 recent photographs.
- Student are supposed to wear their I-Card in the Coaching Campus if provided.
Declaration
I hereby certify that the information provided by me in this application form is complete and correct to the best of my knowledge. I have read the organisation Prospectus carefully and I promise to abide by the rules mentioned therein and also any other rules and instructions issued by the organisation from time to time. I note that fee once paid to the organisation is not refundable under any circumstances.
| Signature of Student Date : |
Signature of Parents/ Guardian Date : |
Signature of Manager/MD Date : |
For For Office Use Only
| Name Of Student | Class Of Student | ||
| Academic Session | Admission Status | Admitted Not Admitted | |
| Admission Date | Concession provided | Yes No | |
| If Yes % of Concession | Total amount to be deposited |