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Fr. Sewell IAS Academy – Application Form
Please fill out this application form carefully. All information provided should be accurate to the best of your knowledge.
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* Indicates required question
Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other
Category
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General
OBC
SC
ST
Other
Nationality
*
Your answer
Father’s/Guardian’s Name
*
Your answer
Mobile Number
*
Your answer
Alternate Phone
Your answer
Email ID
*
Your answer
Permanent Address
*
Your answer
Present Address (If same as permanent address, write “Same as Permanent Address”.)
*
Your answer
Highest Qualification (e.g., UG / PG / Diploma / Others)
*
Choose
UG
PG
Diploma
Others
Institution / College
*
Your answer
Year of Passing (e.g., 2022)
*
Your answer
Percentage / CGPA (e.g., 8.2 CGPA or 78%)
*
Your answer
If “Other”, please specify target exam
Your answer
Attempt Category
*
Fresh
Repeat
Preferred Batch
*
Morning
Evening
Weekend
Previous Coaching Attended?
*
Yes
No
If yes, Institute Name & Duration
Your answer
Emergency Contact Name
*
Your answer
Relationship (e.g., Parent / Sibling / Spouse / Friend)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Declaration (I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of Fr. Sewell IAS Academy.)
*
I Agree
Consent for Data Use & Photography
*
Yes
No
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