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Admission Form

APPLICATION FORM FOR COACHING FOR CIVIL SERVICES,TNPSC, BANKING AND ALL COMPETITIVE EXAMINATIONS

COURSE APPLIED FOR : *
Duration : *
Fees : 
NAME : *
(In BLOCK Letters)
GENDER : 
ARE YOU EMPLOYED?  : 
(If yes, please give details)
DATE OF BIRTH : 
NAME OF FATHER / HUSBAND : 
AND HIS OCCUPATION : 
COMMUNITY : 
COMMUNICATION ADDRESS : 
RESIDENTIAL PHONE NO : 
MOBILE NO : *
E-MAIL : *
BATCH TIMING : 
HOW DO YOU KNOW ABOUT
THIS INSTITUTE? : 
 BY INTERNET     BY NEWS PAPER 
 BY FRIENDS       BY OUTDOOR ADVERTISEMENT 
Terms and conditions:
  • If enrolled, you would be bound by the rules and regulations of the study circle in force from time to time.
  • The decision taken by study circle on your above application for the admission shall be final and binding
  • Fee is not refundable at any cost
  • You should provide the Xerox copies of residential proof and degree certificate/Transfer certificate
Declaration by the candidate:
  • I declare that all the information furnished above are true.
  • I undertake to abide by the rules and regulations of the institution.
  • I will attend all the tests/classes during the coaching period.
Place : Coimbatore