Classroom Course For IIT-JEE-AIEEE 2014
Classroom Course For IIT-JEE-AIEEE 2014
ADMISSION FORM
Noida Greater Noida
South Delhi
West Delhi
First Name Fathers/Guardians Name Mothers Name Occupation of Father Date of Birth Residence Address Gender M F
Last Name
Category
(GEN / SC / ST / OBC / PH)
City
State Email
(STD Code) (Number) (Any Other)
Pincode
Phone
Mobile
(Parents Number)
Mobile
(Students Number)
Mobile
City
State
Pincode
Phone
(STD Code) (Number) (Any Other)
Fax
(STD Code)
(Number)
Marks Obtained
(Please attach a Photocopy of the Marksheet)
Examination Board:
CBSE
ICSE
WB
Other..............................
* Kindly give such number which is not in National Customer Preference Registry (NCPR) mode.
P .T.O.
Promotions Team
Newspaper
Teachers
Friends/Relatives
Ex-Aakashians
Website
Radio
Date:
Sincerely,
Place:
Category of Scholarship
Cash / Demand Draft No.: Registration No.
Category-A
Admission Place:
Branch
Info. Centre
Promotions Executive
Counsellor (Name)
2.
3.
4.
5.
6.
7.
8.
9.
Checklist: 1. It is compulsory to attach a Demand Draft in favour of Aakash Foundations, Payable at New Delhi only for Course Fee along with the form. 2. Post Dated cheques to be submitted at the time of admission. 3. It is compulsory to attach a photocopy of marksheet of the last exam. passed. 4. It is compulsory to attach three extra recent passport size photographs along with the form.
(Signature of Parent/Guardian)*
* Note : It is mandatory for Student & Parent to sign at the appropriate places failing which admission form will not be processed and will be rejected.