Course Applied For:

XIXIIIIT-JEE (Mains)IIT-JEE (Mains & Advanced)MH-CETNEETTwo Year NormalRepeaterCrash CourseTest Series

Course Preferred:

SeawoodsAndheriColabaOnline Class

Name of Candidate:

Please attach your recent passport size color photograph

Father's/ Guardian,s Name:

Occupation & Designation:

Office Address:

Date of Birth (Student):

Name of School:

Board Affiliated to:CBSEHSCISC

PCM/PCB (%) Obtained in the last School exam/ Board Examination:

Achievements (KVPY/ NTSE/ Olympiads/ School or Class Rank/ Board Topper/ Others)

Residential Address (Pincode Mandatory):

Phone(Res.)

Phone(Off.)

Student's Mobile Number

Father's Mobile Number

Mother's Mobile Number

Email ID (Student)

Which Competitive Exam You're Planning to take?: JEE (main)JEE (Advance)NEETBIT-SATMH-CETMedicalOlympiad

Rules & Regulations

1. All Information is true and correct.

2. If a student is not working hard, creating indiscipline, irregular to the class, not responding properly, he/she may be expelled from the institute. The decision of the Managing director in this regard will be final and binding on the student.

3. Incomplete forms will be rejected. It is compulsory to attach a passport size photograph to the admission form. The Institute reserves the right to use the photographs & Class Videos for publicity in case the student secures position or success in JEE/MH-CET, NEET, HSC, CBSE & Science Olympiad, or any other exam.

4. Any changes of address and telephone number should be notified to the organization without delay.

5. Fees once paid will not be refunded under any circumstances. So kindly take admission only when you are 100% sure about joining our class.

I agree with the above rules and regulations.

Please attach your signature and parents signature alongside together