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ASQUARE CLASSES REGISTRATION FORM
For more info. visit : www.asquareclasses.com
Date: _________________
Personal Details
Name: ________________________________________________________________________________
Date of Birth: ___________________________________________Age: ____________________________
Address: ______________________________________________________________________________
_____________________________________________________________________________________
Mobile no: ___________________________E-mail ID: _________________________________________
Your Last Qualification___________________________________________________________________
Your Last Qualification Board ___________________________________________________________________
Your last exam result (%):________________________ Category :_________________________________
Name of School/college___________________________________________________________________
Specify past /present art activities (if attended any) or entrance exam coaching (if attended any)

Father’s name:______________________________________
Father’s Designation & company: ________________________
___________________________________________________
Parent’s Mobile no: ___________________________________
Mother’s name:_____________________________________
Mother’s Designation & company:_______________________
__________________________________________________
Parent’s Annual Income:______________________________

















Name of the Newspaper ________________________ Search Engine or Website__________________________________
Name of the Friend_____________________________Banner or Hoarding or Poster _______________________________
Other sources (Specify the details):_______________________________________________________________________
Batch
Course
Group
Roll No.









































Student Signature:
Director’sSignature:
………………………………
…………………………..

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