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ENROLLMENT FORM

AKRA EDUCATION PRIVATE LIMITED

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Addmission Form

Candidate's Name* :
Father's Name* :
Present Address* :
Permanent Address* :
Contact No. (Ph.)* :
Email ID* :
Course Admitted For* :
Date of Admission* :
Date of Birth* :
Educational Qualification* :
Batch Days & Timing* :

Terms & Conditions Accepted By Candidate

I accept all the rules and regulations of the company and i will not break any rules moreover, whatever fee i have paid is not refundable and transferable.

SUBMIT
* Fields are mandatory

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