Admission Form

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INSPIRE ACADEMY Master Your Mind, Master Your Life

ADMISSION FORM

Registration Date : ________________

Registration No. : ________________

Student Name : ____________________________________________________________

Father's Name : ____________________________________________________________

Mother's Name : ____________________________________________________________

Date of Birth : ____________________________________________________________

Gender : Male Female

Category : Gen OBC SC ST

Aadhar Card No. : _____________________________________________________________

Address : _____________________________________________________________

City ___________ District ___________

Pincode ___________ State ___________

Mobile No. : _____________________________________________________________

Medium : _____________________________________________________________

Current Class : _____________________________________________________________

Current Board : _____________________________________________________________

Current School : _____________________________________________________________

------------------------ -------------------------- ------------------------ ---------------------


Student Signature Guardian Signature Teacher Signature Office Authority

Head Office Branch Office


Flat No. 64/B, Ground Floor, Flat No. 1, Ground Floor,
Sarvodaya Colony, Near District Govt. Hospital, Sarvodaya Colony, Near District Govt. Hospital,
Garh Road, Hapur 245101 Uttar Pradesh. Garh Road, Hapur 245101 Uttar Pradesh.
Contact No.: 9634236818, +91 122 3587620
Email : inspireacademyhapur@gmail.com

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