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  • Vibrant Academy (I) PVT

    Transféré par

    Anonymous RKA22Mgr
    54 vues3 pages
    This document appears to be a registration form for a course at Vibrant Academy India Pvt. Ltd. in Kota, Rajasthan. It collects personal information about the applicant such as name, address, contact details, education history, payment details, and includes sections for applicant and guardian signatures. General rules for students are outlined, such as attending assigned classes, downloading admit cards before tests from the website, and fines for infractions like using mobile phones on campus.

    Description originale:

    e

    Titre original

    Vibrant Academy(I) Pvt

    Copyright

    © © All Rights Reserved

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    This document appears to be a registration form for a course at Vibrant Academy India Pvt. Ltd. in Kota, Rajasthan. It collects personal information about the applicant such as name, address, contact details, education history, payment details, and includes sections for applicant and guardian signatures. General rules for students are outlined, such as attending assigned classes, downloading admit cards before tests from the website, and fines for infractions like using mobile phones on campus.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    54 vues3 pages

    Vibrant Academy (I) PVT

    Transféré par

    Anonymous RKA22Mgr
    This document appears to be a registration form for a course at Vibrant Academy India Pvt. Ltd. in Kota, Rajasthan. It collects personal information about the applicant such as name, address, contact details, education history, payment details, and includes sections for applicant and guardian signatures. General rules for students are outlined, such as attending assigned classes, downloading admit cards before tests from the website, and fines for infractions like using mobile phones on campus.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 3

    RegistrationForm(201617)SEAT

    OldVibrantStudentsOnly

    ForOfficeuseonly

    VibrantRollNo.
    Session.

    VibrantFormNo.
    VibrantRollNo.

    IfPaybyDDthenAttachDDofRs.500/infavourofVibrantAcademyIndiaPvt.Ltd.
    PayableatKota(Raj.).WriteUId,CandidateName,AddressandMobilenoatthebackofDD
    IfPayonlineClickhereSendprintofformtoVibrantAcademyKota
    Note:AttachcopyofpancardandIdProofwithPrintedForm
    UId

    101897

    CourseName:MicroPhaseI

    TestCenter(1stChoice)

    Kota

    2.

    DateOfBirth

    26Jan01

    Gender:Male

    StudentName

    PRASHANTKUMARGUPTA

    MotherName

    SRASHTIGUPTA

    FatherName

    PRAMODKUMARGUPTA

    FatherOccupation

    Engineering

    Designation

    PROFESSOR

    Deptt.

    CIVILENGINEERING

    PermanentAddress

    A101,SHIVALIKAPARTMENTIITROORKEE,,

    City
    Email
    Mobile(Student)
    LastClass
    NTSEStage*

    ROORKEE
    prashantchunmun@gmail.com
    9456519098
    X
    NotApplicable

    Pastelatest
    PassportSize
    ColourPhotograph

    State
    Phone
    Mobile(Father)
    NTSEIIStage.
    Category

    Uttarakhand247667
    9411500841
    No
    Gen

    *NTSEsecondstagequalified.PleaseAttachproof
    Class

    School

    Year

    Board

    Maths

    Sci

    PCM

    IX

    NA

    NA

    XI

    NA

    NA

    XII

    NA

    NA

    Aggr

    ifpaybyDDthenDDDetails
    DDNo.:____________________________________

    BankName:_______________________________________________

    DDAmount:________________________________

    DDDate:__________________________________________________

    IfPayOnlinethenwriteReceiptNo.
    ReceiptNo.:___________________________________

    DetailsofPriv.CoachingInstitute

    DetailsofPriv.CompetitiveExams

    InstName:
    RollNo:Batch:Cum.%:
    City:

    Jee(Main)Marks:0Jee(Main)Rank:0
    Jee(Adv.)Marks:0Jee(Adv.)Rank:0

    TestDate:27122015
    Signature(Applicant)withDate

    Signature(Father/Guardian)withDate


    Studentsmustsubmitattestedcopyofrelevantdocumentas
    proof.

    GeneralRules

    Mention your Correct Email Address, while filling


    applicationform..

    Please keep visiting our web site at regular


    intervalstokeepyourselfupdated withthe current
    happenings&youracademicperformance.

    Student will attend their classes in their own


    batches non compliance of this will result into
    suspension for one week and loss of studies will
    notbecompensated.

    Admitcardforentrancetestwillbeavailable three
    days before the test date on our website
    candidatescandownloadthesame.

    If the student indulges in any kind of unfair or


    unsocial activity, it is the responsibility of the
    studentandhisparentonly.Theinstitutebearsno
    responsibilityforthesame.

    Commutation to institute will be the sole


    responsibility of the student. If any mishap occurs
    during travelling to the institute it is solely the
    responsibilityofthestudent.

    Medium of instruction is English only and all


    literatureprovidedbyusissolelyinEnglish.

    Signatureofapplicantandfather/guardianonboth
    sides of registration form is must, otherwise form
    willberejected.

    Studentsfoundusingmobileinsidethecampuswill
    befinedas:FirstTimeRs.200/,SecondTimeRs
    300/, Third Time Rs. 1000/ and after that Mobile
    willbeforfeited.

    Pleasesaveyourtimebycheckingyour
    registrationstatusonourwebsite.Gettinga
    telephonicreplyinthisregardmaybetime
    consumingduetorushontelephoneline.

    LossofIcardwillincurafineofRs.200/.

    Incaseanystudentisfoundseekingadmissionby
    fraudulentmeanshe/shewillberemovedfromthe
    rolls of the Institute immediately and no refund of
    fee/caution money etc will be made under any
    circumstances.
    Wereservetherighttodeleteanycourseanddeny
    foradmissionwithoutassigninganyreason.

    Declaration:
    WehavereadtheRefundRulesaswellastheGeneralRulesandagreetoabidebythem.

    Signature(Applicant)
    withdate

    Signature(Father/Guardian)
    withdate

    YouareadvisedtoretainaphotocopyofdulycompletedRegistrationFormforyourrecords


    IfPayOnlineClickhere

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