Scholars' Institute

ADMISSION FORM

All * marks are mandatory

I want to take admission in your institute. My particulars are given below :

Course Applied for ^*

Subject combination ^*

Full Time Course

PCB

PCM

PCBM

CANDIDATE DETAILS

Name of Candidate (in block letter) ^*

Name of Father/Guardian ^*

Name of Mother ^*

Date of Birth ^*

Age ^*

Gender ^*

Male

Female

Nationality ^*

Apply for Hostel(boys/girls) ^*

Yes

Apaar Number ^*

PAN Number ^*

PERMANENT ADDRESS [IN CAPITAL LETTERS]

Village / Town ^*

Post Office ^*

District ^*

State ^*

Pin Code ^*

Cont. No. Father ^*

Whatsapp No. ^*

ADDRESS FOR CORRESPONDENCE [IN CAPITAL LETTERS]

Village / Town ^*

Post Office ^*

District ^*

State ^*

Pin Code ^*

Cont. No. (Local Guardian) Mobile ^*

ACADEMIC RECORDS

CLASS	NAME OF SCHOOL / INSTITUTION	YEAR OF PASSING	NAME OF BOARD	%ON AGREGATE
X
XI
XII

DECLARATION

1. I/We shall deposit all the fee as per schedule and shall not claim back any fee/charges once deposited even if my/our child leaves the school or he/she is expelled from the school on disciplinary grounds.
2. I/We understand that fee structure is regularly reviewed and I/We agree to pay the fee of my ward according to increased fee structure as prescribed time to time.
3. That, the fees which I shall pay does not in any way entitle my son/ daughter to be admitted in any institute.
4. That, the decision of the management in all respects shall be final and binding.

________________________________________
Signature of Parents/ Local Guardian
Place _________________________ Date ___________

_____________________________________
Signature of Student
Admitted on __________________ Date ___________

Note:- Signature is not Mandatory for online apply form

IMPORTANT INSTRUCTIONS

1. Fill up the form completely, incomplete form will not be considered for admission.
2. Submit two copies of recent passport size photograph (coloured).
3. Photocopy of marksheet of Class X, XI & XII (whichever is applicable).
4. The refunding of admission-cum-course fees will not be entertained at any circumstances after the class is started.
5. The telephonic booking for admission is not final.
6. The Hostel admission is made confirm on face to face interview with the head of the

FOR OFFICE USE ONLY

Admitted/ not admitted
Group __________________
Time _________________

Signature of
Admission In-charge

Signature of
Authorized signatory

NOTE: The refunding of admission-cum-course fees will not be entertained at any circumstances after the class is started.