Career Counselling Form

Career Counselling Registration Form

Classes 11 & 12
Take Photo *
Student Name *

First Name Last Name
Class
Stream
School Name *
Whatsapp Phone Number *
Please enter a valid phone number.
Present Stream *

Science Humanities Commerce Other
Email *
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Course wise Preference (Please select only 4 courses) *

	First Choice	Second Choice	Third Choice	Fouth Choice
Management - BBA / BMS
Economics
BA / B.Sc / B.Com
Hotel Manageent / Hospitality
Fashion Industry
CA / CS / CMA
Photography
Air Hostess / Steward
Merchant Navy
Defence - Army / Navy / Air Force
Career in Sports
Music / Dance / Fine Arts
Psychology
IT And Softwares
Law
Entertainment Industry

*

	First Choice	Second Choice	Third Choice	Forth Choice	Fifth Choice
St. Xavier's College (Autonomous)
St. Xavier's University , Kolkata
IIM -IPM Indore / Rohtak / Bodh Gaya
Symbiosis, Pune
Christ University , Bengaluru
Narsee Monjee

Do you have Career Counselling facility in your school ? *

Yes No Not Sure
Name a Teacher whom you wish to nominate for the 'Best Teacher Award' *

First Name Last Name
Phone Number of your nominated Teacher *
Please enter a valid phone number.
Email id of the nominated Teacher *
example@example.com
Student Signature

Clear
Should be Empty:

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