ADMISSION

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SIDDHARTH CAREER ACADEMY, NAGPUR
ADMISSION FORM

1. Student Details

Full Name *

Date of Birth *

Gender *

Aadhaar Number

Category

Annual Family Income *

2. Contact Details

Mobile Number*

Email ID*

Permanent Address*

City*

State*

PIN*

Corresponding Address

City

State

PIN

3. Parent/Guardian Details

Father’s Name*

Mother’s Name*

Contact Number *

Email ID*

Occupation (Father)*

Occupation (Mother)*

4. Educational Qualifications

Last School/College Attended*

Last School/College Attended Year*

Year of Passing *

Board/University *

Percentage *

5. Course Details

Select the Course You Are Applying For *

Exams You Are Preparing For

6. Additional Information

Previous Coaching (if any)

Have You Appeared for Any Competitive Exam Before *

If Yes, Mention Exam Name & Score

7. Documents Required (Attach Copies)

Aadhaar Card*

Graduation Certificate (if applicable)*

Passport Size Photographs

Signature

Declaration by Student and Parent/Guardian:
I, , hereby declare that the above information provided is true and correct to the best of my knowledge. I understand that admission is subject to institute policies and verification of documents.