Students Registration Form

Ameyai Educations

(Association with Aadikarta Foundation) Call : +91 9355778222 / +91 9355778333
- Full Name
  
  First NameMiddle NameLast Name
- Student Mobile Number
  e.g. 9355778222
- Network Provider
  This information required for Recharge voucher as a reward on academic performance!
- Phone Number
  
  Area CodePhone Number
- Current Class / Year Level
  In which class or level your are ?
- Registration Date
  
  MonthDayYear
  Date
- Appointment date for registration
- Select Class/ Program for admission
  Choose your subject & Class
- E-mail
- Birth Date
  
  MonthDayYear
- Communication Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Permanent Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Name of Person to contact in case of emergency:
  Parent/Guardian
- Address of person to contact in case of emergency
  If address is same as above , please write only same as permanent or same as present address !
- Mobile/Phone numberof person to contact in case of emergency
- Relationship
  ex. Father, Mother, etc.
- School / College Name
- Upload Curriculum Vitae or List of Achievements
  
  Upload a File
  File should be in pdf, doc/docx format. Cancelof
- Other Extra curricular activities
- Extra Curricular Participation
- Resources Available
- Skills/Talents
- Other Skills/talents
- Sports
- Other Sports
- Interests
- Estimate your family monthly income
- Do you have any scholarship?
- If Yes, who/what is the name of your sponsor?
- Do you plan to shift to another course?
- If Yes, to what course?
- What course is your first choice in Ameyai Educations?
- What is your plan after school / college?
- How to know about Ameyai Educations, please explain below !
- Upload ID of applicant / Students !
  
  Upload a File
  File should be in jpg format or any pan card, adhar card, school id etc. Cancelof
- Signature
- Enter the words shown:
- Name of friends those are students of Ameyai Educations !
  
  First NameLast Name
- Ameyai Educations
  
  (Association with Aadikarta Foundation)
- Name of authorised person of Ameyai Educations !
  
  First NameLast Name
- Should be Empty:

Ameyai Educations

Ameyai Educations