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***Please complete each section using BLOCK letters***

Your Name*

Guardian's Name*

Your Photo

Contact Address*

Your Mobile Phone*

Home Phone*

Blood Group

Email Address*

Academic Background

Degree/Certificate

SSC/O Level

HSC/A Level

Bachelor

Other

Name of the Ins.

Group/Subject

CGPA/Class/Division

Year

Branch*

Program*

How have you come to know about us?(required)

Rules & Regulations

  • Students are strongly recommended to sincerely pursue studies and maintain overall academic standards of the institute.
  • Students are required to attend classes on time and with due sincerity. Teachers and Authority reserve the right to take any necessary step to maintain / restore the overall discipline in classroom and institute premises.
  • Authority reserves the right to send report(s) to parents / guardians on student's class attendance / performance and / or test scores upon request.
  • Admission is irrevocable and non-transferable under any circumstance.
  • Students are encouraged to attend classes of the batch the student has registered in. Right to attend classes is limited to and binded by the number of classes of the program.
  • Batch/Branch change is not allowed. So, please take time to decide on your desired batch and branch.

I certify that the information given on this form is true, complete and accurate. I have also read and understood the rules and hereby agree to the above conditions concerning my admission in the program(s) of 'MENTΘRS'

Date:

Mentors'