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Student Enrolment Form

Enrolment Form No:

Course Details

Course Name

Please select a course

Branch

Please select a branch

Timing / Batch

Personal Details

Name

Please enter your name

Father's Name

Please enter father's name

Father's Occupation

Address

Please enter your address

State

Pin Code

Enter a 6-digit pin code

D.O.B

Enter date of birth

Age

Gender

Select gender

Contact Details

Mobile

Enter a valid 10-digit mobile number

Alternate Mobile

Enter a valid 10-digit mobile number

Email Id

Enter a valid email address

Education Qualification Details

Exam Passed	Degree Subject \ Stream	Year of Passing	% of Marks	Class \ Grade

Languages Known

Reference Your Friends (any two friends for this course)

S.No	Name of Your Friend	Mobile Number	Qualification	Current Location

How did you come to know about We Shine Academy?

Would you like to receive messages & mails from our Academy?

Yes, I like it No, I don't like it

Terms and Conditions

If you don't come on time, you will not be allowed to attend class.
Using or playing with your mobile phone is prohibited during class hours.
Parking your vehicle is at your own risk; the management will not be responsible for any damage or theft.
Irregular attendance will not earn you an extension of the class.
Uninformed long-term absence will let your entire course duration lapse.
Bring your ID card regularly to attend class.
Conversion of batch will not fetch any proportionate repayment of fee.
The management will not be responsible for any loss of valuables, ornaments etc. inside the premises.
Until you crack the exam, our warm support will be extended to students who attend classes and tests regularly.
For any clarifications / issues, only the particular parent of the student can contact our management; no other representatives (friend, boyfriend, girlfriend) are accepted.
Students coming to classes as a couple will not be entertained; if they do so, they won't be allowed to attend classes in future. Students must conduct themselves with decorum and manners and preserve the dignity of the institute.
The Academy has full rights to suspend any student in case of misbehaviour.
Fee is not refundable under any circumstances.
I agree to receive messages and mails to my mobile number and mail address from the academy.

I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge, and that I have read all the terms & conditions and agree to abide by them.

Declaration

Place

Please enter place

Date

Signature

Sign here with finger or mouse

Please sign above or upload a signature image

Terms & Conditions and Verify Mobile Number

✓Mobile number verified

Before submitting, verify the student's mobile number with a one-time password (OTP).

Valid 10-digit mobile number entered (Section 3)
Terms & Conditions accepted (Section 9)
Signature done (Section 10)

✓ All set — ready to submit!

✓

Application submitted!

Thank you, . Your enrolment number is .

Our team will contact you shortly on .

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