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Brilliant Coaching Classes Application Form

Application form

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sexyme0909
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12 views2 pages

Brilliant Coaching Classes Application Form

Application form

Uploaded by

sexyme0909
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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BRILLIANT COACHING CLASSES Ill Floor, P.V.S. Centenary Building, Near P.VS. Circle, K.R. Rao Road, Kodialbail, Mangalore Ph : 0824-2495995, 4256995, (M) 9945238106 ESTD - 1987 Photograph APPLICATION FORM SI. No. Name of the Student (In Capital Letters) 2. Date of Birth 3. Name of the Parent / Guardian 4, Occupation of Parent / Guardian 5. Postal Address 6 Telephone No. (R) (M) (M) 7. Name of the Institution Studying / Studied 8. Class which Studying / Studied 9. Subjects for which Coaching is required 10. Marks/Percentage secured in the previous Examination : 11. Whether Coaching is for Medical / Engineering (CET / COMED-K/JEE-MAIN/others 12, How did you come to know about our institution ? (News paper / Other Student /T.V. / Pamphlet) 13, Whether you are a Brilliant Regular Student 14, Whether you need Hostel Facility : : I request you to admit me to the above course and I agree to abide by Rules and Regulations of the Institution. PLACE SSF DATE Signature of the Student Signature of the Parent / Guardian (For Office Use Only) Fees Payable Fees Paid (Rpt Nos. & Amt! Balance to pay: Fee : : - Coaching Fee: : - Hostel Fee: F - Deposits ; - Signature Rules & Regulations Students Should Adhere to the following Rules and Regulations laid down by the Institution - 1. Students should be regular and punctual in attending the classes. 2. Parents are expected to follow up the attendance and performance of the students in the tests conducted by the institution. They are expected to visit the institution atleast once in a month in this matter. 3. Students have to attend the classes, decently dressed. 4, Using cell phones, IPods or any other electronic devices inside the college premises is Strictly Prohibited. Non compliance will lead to confiscation. 5. Students are not allowed to indulge in any activity which will harm the reputation of the institution. 6. Causing damage or harm to the Institution’s property will attract fine from the students. 7. Students have to pay their fees within the stipulated time. Fees once paid will not be refunded or adjusted under any circumstances. 8. Parents have to inform any change in their address or Telephone numbers (Landline or Mobile Numbers) without fail, to facilitate better communication. 9. In case student is unable to attend any class, itis his/her duty to find out the date and time of the next class. The Institution reserves the right to change the time table or any set programme, in case of unavoidable circumstances. In case of strikes or bandhs, Regular Classes Will be cancelled, Parents / Students can call on the landline for any information regarding the timetable, attendance or performance of the Student Signature of Student Signature of Parent/Guardian

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