Admission form for Class XI 2021 - Popade's Reliance Maths Academy Parbhani 431401
Registration Form for class XI, XII and CET/JEE.
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Name of student *
Date of Birth
Category *
Branch where you want to join Academy *
Name of school (at class X)
Name of College (at class XI)
If taken admission or likely to take.
Marks in Maths at class IX
Percentage of Class IX *
Address *
Mobile No of Parent *
Mobile No of the Student *
Email *
Occupation of the parent
Designation and Address of the office.
Group at class XI
Interested in
Interested in (other than above)
How you got the information about the class.
Name of Maths Teacher at class X (Coaching if any)
Name of Physics Teacher
Write the Name of teacher where you joined or likely to join Physics coaching
Name of Chemistry Teacher
Write the Name of teacher where you joined or likely to join Chemistry coaching
Name of Biology/Electronics/Computer Teacher
Write the Name of teacher where you joined or likely to join coaching
Any other Remark or Enquiry
Declaration:
1. I, hereby, declare that, the entries made by me in the Application Form are complete and true to the best of my knowledge and based on records. 2. I, hereby, promise to abide by the admissible rules and regulations, concerning discipline, attendance, etc. of the Institute and also to follow the Code of Conduct prescribed for the Students of the Institute, as in force from time to time and subsequent changes/modifications/amendment made thereto. I acknowledge that, the Institute has the authority for taking punitive actions against me for violation and/or non-compliance of the same. 3. I, understand that, 100% attendance in classes is compulsory and I commit myself to adhere to the same. I also understand, in case my attendance falls short, for any reason, the competent authority of the Institute may take such punitive action against me, as may be deemed fit and proper.
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