Online Application Srinivasa Academy

APPLICATION FORM FOR ADMISSION

Branch Name

Personal Information

Name of Candidate *

Please Select Name

Gender

Date Of Birth

Please select Date of Birth

Mobile Number

Please Enter Mobile No

Please Enter Email Id

Address

Please provide a valid Address.

City

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State

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Pincode

Please provide a valid Residential Address.

Photo Upload

Parents Information

Father's Name

Please provide a Father's name.

Mobile number

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Mother's name

Please provide a mother's name.

Mother's Mobile number

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Terms and conditions:

1. The institute has the rights to make any change in its programme and fees structure without any prior notice to anyone.
2. The institute has the rights to use the photograph of the student who; has secured success in the examinations for publicity.
3. Academy shall schedule the classes based on availability of faculty members and such other operational parameters as its own discretion .
4. The fees once paid will NOT BE REFUNDED UNDER ANY CIRCUMSTANCES.

I have read the terms and conditions of the institute and agreed to abide by the same.