ADMISSION FORM – uwillclasses

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SEEKING ADMISSION FOR WHICH STANDARD/ COURSE...*
SELECT YOUR PREFERRED BRANCH (AREA / LOCATION)*
SELECT YOUR PREFERRED BRANCH (AREA / LOCATION)*
FIRST NAME (YOUR NAME)*
MIDDLE NAME (FATHER'S NAME)
LAST NAME (SURNAME)*
STUDENT'S MOBILE NUMBER*
RESIDENTIAL LANDLINE NUMBER
CURRENT RESIDENTIAL ADDRESS*
CITY
IF CITY IS SELECTED AS "OTHERS", SPECIFY WHICH CITY
PIN CODE*
STUDENT'S E-MAIL ADDRESS*
DATE OF BIRTH (DD/MM/YYYY)*
Date Format: DD slash MM slash YYYY
BLOOD GROUP OF THE STUDENT*
SCHOOL OF STD 10th*
SCHOOL OF STD 11th-12th*
COACHING CLASS OF STD 10th*
ATTACH YOUR LATEST PASSPORT SIZE PHOTO*

FATHER'S DETAIL's
FATHER'S NAME*
QUALIFICATION*
OCCUPATION*
NAME OF THE ORGANIZATION*
DESIGNATION (POSITION IN THE ORGANIZATION)
FATHER'S MOBILE NUMBER*
E-MAIL ADDRESS

MOTHER'S DETAIL'S
MOTHER'S NAME*
QUALIFICATION*
OCCUPATION*
NAME OF THE ORGANIZATION*
DESIGNATION (POSITION IN THE ORGANIZATION)
MOTHER'S MOBILE NUMBER*
E-MAIL ADDRESS

Do you want to receive the filled admission form?*
- Yes
- No
If marked "YES" below, the admission form will be sent to parents' email address.