Registration Form

Name of the student

Phone

Email address

Date of Birth

Nationality

Father's Name

Father's Profession

Mother's Name

Mother's Profession

Guardian's Name (if different from father)

Permanent Address

Temporary Address

Name of her/his present School

Class in which she/he is studying

Percentage in the last board examination

Subjects in which coaching is sought

Upload your photo here

Photocopy of the Last Marks Sheet (NOT MANDATORY)

Hostel accommodation required

Yes

Promocode (if applicable)

Yes, I acknowledge that I've read and agreed to the terms and conditions.

8116712066
9734009375

8116712066

Name: NAMRATA SUBBA
Account No: 31177674401
Bank: SBI - EKTIASAL BRANCH, SILIGURI
IFSC Code: SBIN0006509