Admission Form

Applicant Name*

Date of birth*

Age

District / City*

Gender*

Blood Group*

Contact Number*

Email ID*

Permanent Address

Course Name*

Course Fee

Course Duration

Guardian's Name*

Guardian Contact*

Academic Qualification

Declaration (Between Institute & Student)

Declaration by Institute:

Institute will provide course completion certificate after successful completion of the course and receipt of full payment of the course fee.
Institute will provide assistance for placement of the students after successful completion of the course and full payment of the course fee but doesn't guarantee any placement as it is depending on individual student's competence & performance in the test/interviews.
If any student does not appear for the placement related test/interview, the student will not be considered for future placement opportunities.
A copy of the placement offer received by the student to be submitted to the Institute.
Any other communication in any form by any persons contrary to the above will not be considered by the Institute.

Declaration by Student:

I hereby declare that the information provided by me is true and subject to verification by the Institute.
I declare that:
1. I will abide by the rules and regulations of the institute.
2. I will pay the course fees within the stipulated time.

I have read and agree to the above Declaration.

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