Inquiry Form 2014 New
Filling this Form is FREE and SAFE.
Get 2 free Demo Lectures and Pay in Third Lecture  ONLY IF YOU are Satisfied.
Register below to help us in guiding you to accomplish Your Goal with the Velocity of Light.
Sign in to Google to save your progress. Learn more
Student Full Name *
StudentName_ FatherName_Surname, eg: Vandit_Milanbhai_Shah
Applying for coaching of *
Student's ACPC Merit Number
College or University *
Present Semester *
Branch *
Desired Semester *
for which tuition is required. If U r in 5 sem but want to apply for 3 sem subject then please mention 3
Examination Type *
Subjects *
desired for Tuition eg :- Calculus, CPU, EEE, EG, EME, etc
Contact 1 *
Student's Mobile Number
Contact 2
Parent's Mobile Number
Contact 3
Landline Number / Mother's Mobile Number
College Attendance on Saturday *
when you have to attend the college on Saturday
College Timings from Monday to Friday *
eg: Mon-Tues 7:15am to 4:30 pm, Wed-Fri 8:30 am to 5:00 pm
Residential Area *
eg: Chandkheda(Ahmedabad), Alkapuri(Baroda), Sector 23(Gandhinagar)
Detailed Residential Address *
Parent's Occupation *
position (company) eg: Doctor (Shalby Hospital), Manager (SBI), Business (Cloth Market)
Who told You About Us? *
reference
Name of Referring Person
eg : Friend Name OR Teacher Name
Class X Result *
Class XII Result *
Average of Sem 1 to 4 if Guj. Board
JEE Main Score
University Enrolment Number
Sem I Result
Sem II Result
Sem III Result
Sem IV Result
Sem V Result
Sem VI Result
Sem VII Result
Sem VIII Result
Purpose for Coaching *
see your own ability before you answer
Convenient Coaching Timings in Morning *
from Monday to Friday
Convenient Coaching Timings in Afternoon *
from Monday to Friday
Convenient Coaching Timings in Evening *
from Monday to Friday
Convenient Coaching Timings for Weekends *
Saturday-Sunday & Public Holidays
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms