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Fields marked with an * are required |
| STUDENT REGISTRATION FORM |
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| Please fill the student enrollment form below: |
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| Enrollment for |
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| Board / University * |
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| Class / Course * |
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One on One
coaching required |
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| Note: Check this box if you want to be coached alone instead of one among a group of 4. |
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Subjects* |
Days* |
Timings* |
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| Please mention other subjects for which coaching is required, if not listed above: |
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Details of marks scored in previous competitive examination
(e.g.80/100, In case of Paper I/Paper II enter as 160/200) *
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Please upload an image of type JPG or GIF and dimension close to 135w x 150h. Size not to exceed 200 KB. |
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