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Ajay Learning Centre

This document appears to be an enrollment form for Ajay Learning Centre located at Krishna Colony W.No.3. The form collects contact information from a student such as their name, address, phone number, email, disability status, and course details including title, student ID, duration, fee, and software used. It also requests payment information noting if the student will pay in full or installments, defining the installment schedule if applicable.

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Ajay Bakshi
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49 views1 page

Ajay Learning Centre

This document appears to be an enrollment form for Ajay Learning Centre located at Krishna Colony W.No.3. The form collects contact information from a student such as their name, address, phone number, email, disability status, and course details including title, student ID, duration, fee, and software used. It also requests payment information noting if the student will pay in full or installments, defining the installment schedule if applicable.

Uploaded by

Ajay Bakshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Ajay Learning Centre Affix

Krishna Colony W.No.3 Photograph


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Mobile: 874845756

Name: _________________________________________________________________________

Address: _______________________________________________________________________

Contact No. : ___________________________ Parent’s Contact No. : ______________________

E-Mail ID: _________________________ Disability: ____________________________________

Course Title:

Student ID: Duration:

Course Fee Offered: Software Used:

Payment: Single/installment

If instalment:

Instalment Amount Due Date


Instalment1
Instalment2
Instalment3
Instalment4

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