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.
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: ______________________________
| Exam / Class | School/Board/University | Year of Passing | Percentage/CGPA | Subject Stream (if applicable) | |--------------|-------------------------|----------------|----------------|--------------------------------| | Class X | | | | N/A | | Class XII | | | | PCM / PCB / Commerce / Arts | | Graduation (if any) | | | | | | Current Class/Course | | | (Current %age) | | coaching classes admission form word format
School/College Name currently attending: ________________________________________________ Medium of Instruction: English / Hindi / Other: ___________ Have you ever failed in any exam? Yes / No (If yes, details): _________________________
Student Name: ___________________ Signature: _______________ Date: __________ I, the parent/guardian of the above-named student, certify
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.
Residential Address: ___________________________________________________________________ City: _______________ PIN: _______________ State: _______________ Landmark: __________________________________ Residence Type: Own / Rent / PG / Hostel submit assignments on time
SECTION H: OFFICE USE ONLY