Peer Pressure

Peer Pressure

Registration No..............
Affix your recent passport size photograph here.

REGISTRATION FORM

Aakash National Talent Hunt Exam.-2013
To, The Managing Director Aakash Institute / Aakash IIT-JEE New Delhi
Preferred Stream: Engineering Medical
(only one)

Centre Name:
(for ANTHE Stage-I)

Name and Address of present School

Class:

Category:
(GEN / SC / ST / OBC / PH)

Mother’s Name: Parent's / Guardian's Occupation:

Correspondence Address:

Fax:
(Number with STD Code) (Number with STD Code) (Number with STD Code)

Mobile (Parent): Mobile (Student):
Marks Obtained in Class IX(%):
(In Science)

E-mail (Parent): E-mail (Student):
Board:
(In Maths)
CBSE ICSE ISC Any other.....................

How did you come to know about Aakash
Date: Place:

Newspaper

Website

Friends/Relatives

Teachers

Marketing Team

(Signature of Student)

DECLARATION This is to certify that the information provided in the Registration form is correct to the best of my knowledge.

Signature of the Parent / Guardian

P.T.O.

Terms & Conditions

1. Incomplete form will be rejected. It is compulsory to attach photocopy of mark sheet of class IX and recent passport size photographs to the admission form. 2. It is compulsory/mandatory to provide Mobile No. / E-mail I.D. of the student / father / guardian. The result of tests or any other information by the Institute will be sent to the student via SMS or on E-mail I.D. Institute shall not be responsible if any information regarding result or anything else is not received by the student if he/she has not given his/her Mobile No. / E-mail I.D. in Aakash National Talent Hunt Exam. form at the time of registration. 3. The Stream opted by the student at the time of filling the registration form shall be final. No changes in the stream opted shall be entertained at later stage. 4. During the two year course program at Aakash, a student must meet the following requirements failing which...

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