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ONLINE REGISTRATION

Admission Form No.

Name of the Candidate:

Fathers’ / Guardian’s Name:

Address:

Telephone No:

Mobile No:

e–mail:

Date of Birth:

Educational Qualification:

School:

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I am planning to write the entrance examination of the following institutions:

NIFT UG/PG

NID UG/PG

CEED

B.Arch. (NATA)

B.Arch (AIEEE)

Pearl Academy

Shristi, Bangalore

SOFT, Pune

Apeejay Institute of design, Delhi

For any other course mention on the space provided:

_________________________________________________________________________________

I came to know about TAKSHSHILA from:

Nerwspaers

Banners

Internet

Others

For any other course mention on the space provided:

_________________________________________________________________________________

You want to join TAKSHSHILA for:

Classroom Coaching

Postal Coaching

I, ____________________________ declare that above information given by me is correct and I will follow the rules and regulation of the institution. The authority can take disciplinary action in case of misconduct. Fees paid cannot be refunded under any circumstances.

Date:
Place:

Parents / Guardian Signature:	Students Signature:

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