NIKAM TUITION CLASSES

NIKAM TUITION CLASSES : Enquiry Form

First Name*

Middle Name*

Last Name*

Mobile Number*

Email

Landline Number

Gender*
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Date of Birth*

Address*

landmark

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PinCode*

Guardians Details

Fathers First Name

Fathers Middle Name

Fathers Last Name

Mobile Number

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Occupation

Mothers First Name

Mothers Middle Name

Mothers Last Name

Mobile Number

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Occupation

Other Guardian First Name

Other Guardian Middle Name

Other Guardian Last Name

Mobile Number

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Occupation

Extra Information
Medical Information, Previous Classes Joined, Career Aspiration, Education Qualification of family member, Target % for this year or Any other...

I hearby declare that I do not have any objection whatsoever in case NIKAM TUITION CLASSES uses my name and photograph in any of its promotional communication such as newspaper, ads, leaflets, T.V. commercials, radio jingles etc. and neither will I have any claim of whatsoever nature. I declare that I have read and understood all the terms and conditions given in the prospectus and I shall abide by them.
By clicking on the submit entry button and submitting this form you will be indicating your consent to receiving marketing communications by email, sms, call, WhatsApp or any other communication channel and our privacy policy.

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