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STUDENT ENQUIRY FORM

Date:_____/_____/_________

Course applied for: VI VII VIII IX X 2 YRS. IIT-JEE 1 YR IIT-JEE

Subjects you are 2 YRS. MEDICAL 1 YR. MEDICAL IIT-JEE DROP MED-DROP
looking for: Physics Chem Bio Maths English S.St Commerce

School Studying in: _________________________________________________________________________________________

School Address: _________________________________________________________________________________________

Latest Result: _________________________________________________________________________________________

Student’s Name: _________________________________________________________________________________________

Father’s Name: ________________________________________ Occupation ___________________________________

Current Address: _________________________________________________________________________________________


_________________________________________________________________________________________
Contact No:
STUDENT FATHER MOTHER
How did you come Hoarding Board Friends Pamphlet
Internet
to know about us?
What do you expect from us?: _______________________________________________________________________________
________________________________________________________________________________
I am authorizing GuruDrona to utilize my details for academics purpose.

Parents’ Signature Student’s Signature

FOR OFFICE USE

Student’s Finding after Counseling: _______________________________________________________________________


_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Eligible For course?
YES NO
Scholarship Offered: %
Not Eligible

Counselor’s Signature

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