Form 1687439779

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ADMISSION FORM FOR CLASSROOM/HYBRID COURSE

☑ I understand and agree that the personal information will be collected by Aakash Educational Services
Limited (“Company”) while submitting the admission form and the personal information may be used or
stored by the Company as mentioned under the Company’s Privacy Policy. I have read and agree to the
Company’s Privacy Policy in it’s entirety

Form Filled by Parent and I agree that at the time of filling the admission form my age is 18 or above.

PSID: Branch
00010833260 Trichy-Annamalai Nagar

Stream: Term
Foundation 2325

Course Name Batch Option


TY Integrated Classroom Course for Weekdays-Morning
Olympiads NTSE and Class IX and X
Phase3 - 713894

Personal Detail

Student Name: Nivea Nedira T V


Date of Birth 17/06/2009
Gender Female
Category Other
Student Email ID : appuguru2805@gmail.com
Primary Mobile No. 8015061000
Secondary Mobile No. : 8015061000
Father’s Name : Venkatesan G
Mother's Name Dheiva valli
Parent's/Guardian's Occupation : Others
Nationality : India
Blood Group : B+

Address Details

Correspondence Address

Address: 94,Palayam bazar woraiyur


Pincode: 620003
State: Tamil Nadu
City : Tiruchirappalli
Phone No :
Parent's Email ID : nediranivea@gmail.com

Permanent Address

Address:
Pincode:
State:
City:
Phone No:

Education Detail

Class Studying: 9
Exam Board: STBD
School State: Tamil Nadu
School City: Trichy & Tamilnadu
School Name: St Joseph's Anglo Indian
Marks Obtained in last class %: %
Grades Obtained in last class: Math :

Science :

Original marksheet of the last board or equivalent exam


Copy of Identity Card issued by Aakash

Date: 22-06-2023
☑ I hereby authorize the Company and/or its service provider(s) to reach out with transactional/promotional/
other information on my coordinates (whatsapp/ email/ mobile number)
☑ I hereby acknowledge that the information and/or documents provided by me are correct and true. In case of
any discrepancies in the information provided by me, Company shall reserve the right to cancel/reject my
application form
☑ I hereby read, understood and agree the terms and conditions of the Company.

The details of the admission form has been verified by the customer through OTP authentication
on mobile number 8015061000 and 8015061000 at 22-06-2023 18:45:59 at 152.58.221.71

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