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DIPLÔME de PÂTISSERIE

S T ud E n T a P P L I ca T I O n f ORM for January 2022

• Print this document and fill details with pen. • Minimum age eligibility is 18 years. Proof of
• This form must be filled in English only. Date of Birth is required in the form of Passport,
• Please use clear, block letters to fill important Aadhar Card, or Driver’s License.
information. • Minimum education qualifications is 12th standard
• Enter your name at the bottom of every page of or equivalent. Providing proof of applicant’s
the application. highest educational qualification is encouraged.
• Completed applications are to be scanned and • Essay in Q.30 to be attached as a separate,
emailed to info@lavonne.in typed document.

Applicant Basic Info

1 Full Name:

2 Phone: 3 Email:

Use this space


4 Date of Birth (dd/mm/yyyy): 5 Age: to affix a recent
passport size
photograph
6
Gender: Male Female Other 7 Martial Status: Single Married Other

8 Permanent Address:

9 Nationality: 10 Place of Birth (country & city):

Applicant Details

11 Highest Educational Qualification: 12 Year: 13 Institute:

14 Notable Work Experience:

PAGE 1 of REGISTRATION TO LAVONNE ACADEMY OF BAKING SCIENCE & PASTRY ARTS, INDIA | APPLICANT NAME:
15
Languages Known:

16 Other Activities & Hobbies:

17 Mention any physical or psychological condition that might require assistance:

Parent / Guardian Info

18
Full Name: 19
Relation:

20
Phone: 21
Email:

22
Address:

Emergency Contact Info


23
Full Name: 24
Relation:

25
Phone: 26
Email:

27
Address:

Vocational Understanding
28
One primary reason for taking up this course: To start my own business To develop an existing business I own

To work in a hotel or patisserie To try a new career path To enhance my skills for domestic/personal use

Other:

29 How did you hear about Lavonne Academy: Social Media Found the website through Google

Exhibition / Stall Friend’s recommendation Other:

30 Write an essay of approximately 300 words, detailing your reasons for joining the course and what you hope to achieve.
Attach the essay as a separate, typed document along with this application form.

PAGE 2 of REGISTRATION TO LAVONNE ACADEMY OF BAKING SCIENCE & PASTRY ARTS, INDIA | APPLICANT NAME:
Terms of Enrolment & Withdrawal

Applicants are required to carefully read the following policies, terms and conditions governing the
admission and enrolment of all students at Lavonne Academy of Baking Science & Pastry Arts:

1. All applications and fees must be received and realized no later than 1 month before the commencement of the course.
2. A student is considered fully enrolled upon registration and payment of all fees and deposits as set out in the Fee schedule.
3. Lavonne Academy of Baking Science & Pastry Arts reserves the right to revise the fee payable without prior notice.
4. All fees are payable in advance as required according to due dates given by the Accounts department.
5. Payments are to be in the form of bank transfer (telegraphic transfer), demand draft or crossed cheque made payable to the
account provided to you by the Academy. Please do not send any cash through post.
6. Payment by credit / debit card has to be made on site at the Academy, and incurs the required percentile surcharge.
7. Failure to pay fees will result in the student being barred from classes, examinations and other facilities.
8. Fees paid is non-transferable to any other course.
9. In the event a student is expelled or is suspended or discontinues the program / module due to disciplinary / academic
misconduct, there shall be no refund of fees paid.
10. Students must abide by all academic, administrative and examination rules, regulations and policies of Lavonne Academy of
Baking Science & Pastry Arts.
11. Lavonne Academy of Baking Science & Pastry Arts, shall be under no liability whatsoever to any student for any loss or damage or
death and personal injury caused by negligent act or omission of any student sustained at the Academy’s premises.

Cancellation & Withdrawal Policy:

For withdrawal from classes, an official request has to be handed to the Lavonne Academy Office in writing stating reasons for the
same. The proportion of Course Fees Refund is shown as follows:

• NO REFUND shall be given if an applicant declares withdrawal LESS THAN 30 working days from the course commencement.
• If an applicant gives MORE THAN 30 working days notice prior to the commencement date of the course, they will be eligible to
a refund of the amount remitted after deducting the applicable cancellation charge of 40%.
• All refunds will be made only in the name of the account from which the money was received.

Declaration by Applicant
I have read, fully understood, and agree to the above policies, terms and conditions and the nature and
effects thereof.

I certify that the information provided by me in this application form is correct and complete.

I hereby agree to pay all fees due on the dates stipulated by Lavonne Academy of Baking Science &
Pastry Arts.

I certify that the information provided is correct and complete, that I am aware of the costs of the
program, fee schedule and payment deadlines

31 Name of Applicant: 32 Date: 33 Signature:

Declaration by Guardian
I have read, fully understood, and agree to the above policies, terms and conditions and the nature and
effects thereof.

I hereby agree to pay all fees due to the dates stipulated by Lavonne Academy of Baking Science &
Pastry Arts.

34 Name of Guardian: 35 Date: 36 Signature:

PAGE 3 of REGISTRATION TO LAVONNE ACADEMY OF BAKING SCIENCE & PASTRY ARTS, INDIA | APPLICANT NAME:

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