Admission Form - IMAC Cochin Kalabhavan

Admission Form - IMAC Cochin Kalabhavan
Classes*

Summer ClassRegular ClassSpecial ItemWinter CampPre-Summer Camp
Branch*

SegayyaGudaibiyaRiffa
Full Name of Student*
Name*

First NameLast Name
Gender*

MaleFemale
Nationality *
CPR Number
Age*
Date of Birth*
Father's Name *
Occupation
Contact No.*
Mother's Name*
Occupation
Contact No.*
Residential Area
WhatsApp No.*
Email ID*
DANCE

Cinematic, Contemporary, WesternClassical Dance
VOCAL MUSIC

Carnatic Music, Light Music, Group Song
INSTRUMENTAL MUSIC

︎KeyboardGuitar︎ViolinFlute︎Saxophone
ART & CRAFT

Drawing, PaintingCraft
YOGA

Yoga (Regular Batch Only)
KARATE

Karate (Regular Batch Only)
KUNG FU

Kung Fu
KALARI

Kalari
How this Poster reached to you?*

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