SECTION G: STUDENT DECLARATION
Residential Address: ___________________________________________________________________ City: _______________ PIN: _______________ State: _______________ Landmark: __________________________________ Residence Type: Own / Rent / PG / Hostel
SECTION C: ACADEMIC BACKGROUND
Parent/Guardian Name: ___________________ Signature: _______________ Date: __________ coaching classes admission form word format
I confirm that I have understood the course structure, timings, and code of conduct. I will attend classes regularly, submit assignments on time, and maintain discipline.
Course applying for (tick one): [ ] IIT-JEE (Main+Advanced) [ ] NEET (UG) [ ] FOUNDATION (8th-10th) [ ] BOARD (11th-12th) [ ] COMMERCE (CA/CS/CMA) [ ] CLAT / LAW [ ] OTHER: ___________________
Admission Status: Provisional / Confirmed / Rejected Enrollment No.: ___________ Batch Code: ___________ Fee Receipt No.: ___________ Total Fee: ___________ Paid: ___________ Balance: ___________ Payment Mode: Cash / Card / UPI / DD Counselor Name: ___________ Counselor Signature: ___________ Date: __________ Director/Coordinator Signature: ___________ Remarks: ______________________________ Yes / No If yes, name of institute
Student Name: ___________________ Signature: _______________ Date: __________
SECTION E: SCHOOL/OFFICE USE & DOCUMENTS UPLOAD/ATTACHED
SECTION D: COACHING & COURSE DETAILS
SECTION A: STUDENT PERSONAL DETAILS
Target exam year: ___________ Preferred mode: Classroom / Online / Hybrid Preferred batch timing: Morning / Afternoon / Evening / Weekend Have you taken coaching before? Yes / No If yes, name of institute & duration: _______________ Reason for joining us: ______________________________________________________________
SECTION H: OFFICE USE ONLY
Checklist (Tick & attach photocopies – originals for verification): [ ] Class X Marksheet [ ] Class XII Marksheet (if applicable) [ ] Transfer/Leaving Certificate [ ] Aadhaar Card (student) [ ] Passport size photos (4 copies) [ ] Caste certificate (if applicable) [ ] Parent’s ID proof [ ] Medical certificate (if any disability)