Student enrollment form

 

Fill the enrollment form to join our 3-Months Intensive Training Program - STRIDE

 

 

Name of Student

Email-ID

Gender

Phone number

Date of Birth

Blood Group

Family Details

Father's Name

Occupation

Phone Number

Mother's Name

Occupation

Phone Number

Current Address

Permanent Address

Languages Known

To Read

To Write

To Speak

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(Emergency Phone number) 

(Emergency contact name)

(If there are more than one Please use comma (,) to add)

(If there are more than one Please use comma (,) to add)

(If there are more than one Please use comma (,) to add)

Educational Qualification

Branch

University/Board

Year of Graduation

PG

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UG

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Diploma

Intermediate/

HSC/12th

SSC/10th

Do you have Relatives/Friends

in Talent Sculptors? 

(Separate multiple names by using comma(,) )

Please upload scanned copies of the following:

1) 10th(SSC) Marksheet

2) 12th (HSC) Marksheet

Note: Please make sure that all the above requested documents were uploaded

Upload File

3) U.G Marksheet 

4) U.G Degree Certificate

Upload File
Upload File

5) P.G Marksheet(If Any)

6) P.G Degree Certificate(If Any)

Upload File
Upload File

7) Aadhar Card

8) Driving License or Passport or Voter's ID

 

Upload File
Upload File

(PDF Format only)

Upload File

Student Details

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No. 3, Vallalkumanan Street, Baghirathi Nagar,

Puzhuthivakkam,Chennai