Sri Sarabeswarar Educational Pvt.Ltd

REGISTRATION FORM

Form No

Date

Student Information

First Name:

Last Name:

Father's Name:

Father's Occupation:

Date Of Birth:

Mobile No:

Gender:

Marital Status:

Email ID:

Education Qualification

Exam Passed	Name of Stream	Year of Passed	Board/University	% of Mark
10th
12th
Graduation
Post Graduation
Other

Name of the Course:

1. How did you know about us?

Others

2. I Would you like to refer Sri Sarabeswarar Education To:

Name		Name
Dept & Year		Dept & Year
Mobile No		Mobile No

Terms & Conditions

* Fees once paid will not be refunded, adjusted or transferred. Fee will not be adjusted to any other course.
* To take any leave, a prior written application will have to be submitted 3 days before.
* Course Extension will be considered only due to unavoidable reason.
* The institute reserves the rights to claim any damages or penalty from the students in case of any damage caused either to its furniture, property, books, computers or any other material etc.
* Strict discipline and punctuality shall bepractical by the students.
* Faculties can be changed without giving any intimation to students due to any management, administrative reason.
* Students will compulsory submitted documents ID proof/Address Proof, Passport Size Photos of the High School Certificate Photocopy.

Declaration

I affirm that all the information provided in the application form is true to my knowledge and belief. I also agree to Institute terms and conditions.

Date:

Place:

location

email address

Phone

student registration

REGISTRATION FORM

Student Information

Education Qualification

Terms & Conditions

Declaration