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Application & Admission Form

G-50, Arihant Shopping Center, Nallasopara (E), Maharashtra -401209

Application & Admission Form

Applications should be filled in Candidate’s own hand writing using BLOCK LETTER ONLY
Note: Only take into account marks in those subject which are consider for forwarding the Class / Grade
Examination Year of Passing Class /Grade % Marks PCM /PCB School/ University
S.S.C. or High School
H.S.C or Intermediate
Diploma/ Degree
Following Self attested Copies in triplicate are enclosed: (Tick Appropriate)


We (Candidates) (parents/ Guardian) do here by declare that the entries made in this form are true and correct. We have carefully read all terms & conditions, rules and regulations as stipulated in the prospectus of the institute and shall abide by the same. We also undertake that we will not discontinue the course in any circumstances before the completion of the course. However, if this happens due to any unavoidable / unforeseen circumstance, we shall be liable to pay the fee of full course duration remaining to be completed.


For Office Use

Admission granted for the Fees
Amount Received Rs. (Rupees)
Vide Cash/Cheque/DD No. Dated
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