Coaching Classes Admission Form Word Format «EASY – CHEAT SHEET»

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)

SECTION B: RESIDENTIAL & PARENT/GUARDIAN DETAILS

Father’s Full Name: __________________________ Occupation: ___________________ Mother’s Full Name: _________________________ Occupation: ___________________ Father’s Mobile: ___________ Mother’s Mobile: ___________ Email (Parent): ________________ Annual Family Income (approx.): Below 2L / 2L-5L / 5L-10L / Above 10L Local Guardian (if student stays away): Name: _______________ Contact: _______________

Residential Address: ___________________________________________________________________ City: _______________ PIN: _______________ State: _______________ Landmark: __________________________________ Residence Type: Own / Rent / PG / Hostel coaching classes admission form word format

Student Name: ___________________ Signature: _______________ Date: __________

School/College Name currently attending: ________________________________________________ Medium of Instruction: English / Hindi / Other: ___________ Have you ever failed in any exam? Yes / No (If yes, details): _________________________

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: ______________________________ Checklist (Tick & attach photocopies – originals for

Course applying for (tick one): [ ] IIT-JEE (Main+Advanced) [ ] NEET (UG) [ ] FOUNDATION (8th-10th) [ ] BOARD (11th-12th) [ ] COMMERCE (CA/CS/CMA) [ ] CLAT / LAW [ ] OTHER: ___________________

SECTION H: OFFICE USE ONLY

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 E: SCHOOL/OFFICE USE & DOCUMENTS UPLOAD/ATTACHED

Parent/Guardian Name: ___________________ Signature: _______________ Date: __________ coaching classes admission form word format