Excel Learning Classes: Registration Form

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EXCEL LEARNING CLASSES

(Grow Yourself Creatively)

(For office use only)

Joining Date: ___/___/_____


AFFIX YOUR
PHOTO HERE

REGISTRATION FORM
(To be filled in capital letter)

Students Name: ________________ ____________

Age ______ D.O.B.

Mothers Name: ____________________________

Occupation ______________________

Fathers Name: _____________________________

Occupation ______________________

Gender:

Male

Female

Address: ________________________________________________________________________
________________________________________________________________________________
Contact No. __________________________ (Primary) _________________________(Secondary)
E-Mail ID _______________________________________________________________________
Name of the school where studying / last attended _______________________________________
Class in which studying ____________________________________________________________
Percentage / C.G.P.A. (In last class) __________________________________________________

Stream:

Drawing & Painting

Arts & Crafts

Academic Classes

Yog Classes

Declaration:
I hereby declare that the above information is true to the best of my knowledge and belief.

Dated: ___/___/_____

(Authorized Signatory)

(Signature of Student)

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