Enrolment Form

(for Live Online Classroom Programs)

Enrolment Number (for official use only)

1 0 5 4 7 9 2 3 4 0 0 6 6
 ENROLMENT FORM

In order to serve you even better, please share your valuable opinion below

What has influenced you the most to join FIITJEE eSchool ? {Pls tick (✓) options relevant to you}

FIITJEE Results / Achievements • ✔

FIITJEE Value System •

FIITJEE Faculty • if yes, Name of FIITJEE Faculty : .........................................................................................

FIITJEE Student • if yes, Name of FIITJEE Student : .........................................................................................

His / Her FIITJEE Program Name : .........................................................................................

FIITJEE Study Centre Enrolled at : .........................................................................................

Through A Friends
If any other influence (please specify) : ............................................................................................................................

.............................................................................................................................................................................................

Instruction for filling Enrolment Form

Please read carefully the “Important Information for Students (& their Parents / Legal Guardians)” and “Declarations / Undertakings”.

Please Note :
❖ Check the availability of the program at FIITJEE eSchool before making a choice.

Items required to be submitted along with this form :

❖ FIITJEE eSchool / Admission Test / Big Bang Edge Test / FIITJEE Talent Reward Exam Hall Ticket.
❖ Admission offer letter.
❖ Any one of the following documents :
◼ Photocopy of School ID card with photograph or
◼ Photocopy of last Board or School Marksheet supported by any Identity Proof of student or
◼ Bonafide certificate issued by the Principal of School with student’s photograph

2
 ENROLMENT FORM

Test date : 25 / 12 / 2022

Please affix the
1st passport size colour
photograph of the
1001039732512223250 student here
Registration Number (as mentioned on the Hall Ticket) :

Study Centre : FIITJEE eSchool (Delhi)

e-ASCENT - One Year Live Online Classroom Program
Program Name (refer page no. 14) :

Program Code (refer page no. 14) : 1054

TF : 75,Girl Students of Class VI, VII : 25.00
Scholarship Awarded % (if applicable) :

Student’s Name (in Block Letters) :

kavya garg
Date of Birth : 31 / 10 / 2007 E-mail ID : kavyagarg141@gmail.com

Mailing Address : A-11 Raghunath colony galta gate

Address Line2,Jaipur

Pin : 302003

Contact No (Mobile) : 9829101962 Land Line (with STD Code) :

Permanent Address (if it is different from mailing address) :

Pin :

Contact No. (Mobile) : Land Line (with STD Code) :

School/College Last Attended / Presently Attending : MPS

Address : MPS International, Bhabha Marg, Tilak Nagar, Jaipur, Rajasthan 302004,Jaipur,Rajasthan::RJ,India

Pin : 302004

Girish kumarGarg
(a) Father‘s Name : Qualification :

Occupation : Business • Govt. Service • Pvt. Service • Others (please specify) :

Name of the Company / Office : Nature of Business / Job

: Designation : Department

: Contact No (office) :

Office / Business Address : ,,

Pin :

E-Mail ID : Mobile No :

Sangeeta Garg
(b) Mother‘s Name : Qualification :

Occupation : Business • Govt. Service • Pvt. Service • Others (please specify) :

Name of the Company / Office : Nature of Business / Job

: Designation : Department

: Contact No (office) :

Office / Business Address : ,,

Pin :

E-Mail ID : Mobile No :

3
 ENROLMENT FORM

(c) Details of the Sibling(s) (if applicable)

1. Name :

Class studying in : Enrolment No. (if enrolled with FIITJEE) :

2. Name :

Class studying in : Enrolment No. (if enrolled with FIITJEE) :

3. Name :

Class studying in : Enrolment No. (if enrolled with FIITJEE) :

Details of the examination(s) of the class last passed / currently studying

Total PCM
Name of the Examination(s) Board Year of passing appeared Aggregate Science + Math
(%)

Fee Details : Fee Plan opted (√): I □

✔ II □ III □
Fee Plan Code : (1054/FTRE-22/Plan-I)

(please refer course fee Annexure)

Detail(s) of Initial Payment Debit / Credit Card

Transaction Transaction Fee

S. No. Bank GST Total Amount
Reference Number Date Amount

1 2018984358 2023-01-18 ICICI 9153.00 1647.00 10800.00

Total 9153.00 1647.00 10800.00

4
 ENROLMENT FORM

Annexure “A”
TERMS & CONDITIONS FOR NACH MANDATE

I understand that if my son /daughter / ward withdraws from the Program to which he/she has been admitted
at any point of time or does not attend the Program and thus the seat given to him/her is rendered vacant, Affix one self attested
the same will not/can not be filled up by any other candidate and a vacancy created in the batch due to passport sized
withdrawal of a student after the starting of classes or up to 2 days prior to the same cannot be filled in any photograph of the
case, therefore I understand that FIITJEE eSchool shall suffer irreparable losses in case of non-payment of person signing NACH
Mandate i.e. parents /
remaining fee of the instalment plan, hence it will be unethical not to honour the NACH Mandate. I have
guardian
opted for instalment fee plan and have submitted the NACH Mandate as per the details given below.
I agree that, I will make arrangement, for below stated NACH Mandate, to get honoured, and will keep
sufficient funds on or before the due date for the same.

Detail(s) of NACH Mandate

Mandate Number
Mandate Issuing Fee Total
S. No. Registration GST of
Date Bank Amount Amount
Reference Number Mandate

1 eSeN1001039732512223250A 4

2 MegN1001039732512223250A 1

3 edfN1001039732512223250AAAAAA 1

I further agree to get above mentioned NACH Mandate clear, even if, my son / daughter / ward discontinues study at
FIITJEE eSchool, irrespective of any reasons.

I am signing the above declaration in good mental / physical health. I have satisfied myself about FIITJEE. The necessary
Enrolment-Forms, including this form was received by me several days before the actual date of signing to enable me to understand
the implications of taking admission at FIITJEE eSchool. I have taken expert opinion regarding matters which were not clear to me and
I am satisfied.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Signature of the Student Father / Mother / Legal Guardian’s Signature

(Who has given NACH Mandate from their account)
Name : kavya garg
Girish kumarGarg
Enrolment Number (for office use only) : 1054792340066 Name :
A-11 Raghunath colony galta gate ,Address
Date : 2023-04-08 Address : Line2,Jaipur , 302003

I have retained photocopy of this document for my reference before submitting it at FIITJEE.

Date : 2023-04-08 Father / Mother / Legal Guardian’s Signature

Place : Name : Girish kumarGarg

5
 ENROLMENT FORM

Annexure “B”

CONSEQUENCES OF DISHONOUR OF NACH Mandate

I understand that non-clearance of any of the NACH Mandate, submitted for payment of fees (on installment basis) as mentioned
in the Enrolment-Form and annexure “A” is punishable under Sec. 138 of the Negotiable Instrument Act. I understand that FIITJEE
shall be entitled to proceed and initiate appropriate legal action against me, to recover the amount of the NACH Mandate along with
the legal expenses and out of pocket expenses incurred by FIITJEE.

In case any of my NACH Mandate bounces for any reason whatsoever, I undertake to pay the amount through Credit Card / Debit
Card / Net Banking to “FIITJEE eSchool Pvt. Ltd.” within four days of the bouncing of the Cheque(s) at my bank, together with
Rs. 500/- (Rupees five hundred only) as default money alongwith late payment of Rs. 50/- (Rupees fifty only) per day upto 10 (Ten)
days from the due date of payment of instalment after which my son / daughter / ward shall be debarred from classes without any
further notice and I shall have no claim for refund of fees or any support in studies besides Legal action inter alia action under
Section 138 of the Negotiable Instrument Act may be initiated against me/us.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Signature of the Student Father / Mother / Legal Guardian’s Signature

(Who has given NACH Mandate from their account)
Name : kavya garg
Enrolment Number (for office use only) : 1054792340066 Name : Girish kumarGarg

A-11 Raghunath colony galta gate ,Address

Date : 2023-04-08 Address : Line2,Jaipur , 302003

I have retained photocopy of this document for my reference before submitting it at FIITJEE.

Date : 2023-04-08 Father / Mother / Legal Guardian’s Signature

Place : Name : Girish kumarGarg

6
 ENROLMENT FORM

Annexure “C”

Kindly do not take admission at FIITJEE eSchool if the clauses of the declaration on the Enrolment Form is
not agreeable to you.
kavya garg
Name of the Student :
Girish kumarGarg
Name of the Father / Parent / Guardian:
A-11 Raghunath colony galta gate ,Address Line2,Jaipur , 302003
Residential address :

Specific Declarations (10 & 23) are being reproduced hereunder :

Declaration 10 :
In addition to the above, I understand without any ambiguity, that the fee once paid is not refundable at all, whatever the reasons be,
neither is it adjustable towards any other existing courses at FIITJEE eSchool or any yet to be launched nor towards the fee of any other
existing or prospective student.

Declaration 23 :
I/We, the parent / guardian and/or the student, hereby severally and jointly declare unambiguously that I/We have read and understood
all the clauses contained in this Enrolment form, Annexure and Declarations and agree to abide by them without any reservation or
ambiguity.

I/We further declare that the above named student is taking admission in the e-ASCENT - One Year Live Online
Classroom Program
(course opted for) having considered everything material and on his/her
own sweet will and with the permission of the Father / Mother / Legal Guardian without any coercion from any side.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Signature of the Student Father / Mother / Legal Guardian’s Signature

Name : kavya garg Name : Girish kumarGarg

A-11 Raghunath colony galta gate ,Address
Enrolment Number (for office use only) : 1054792340066 Address :Line2,Jaipur , 302003

Date : 2023-04-08

I have retained photocopy of this document for my reference before submitting it at FIITJEE.

Date : 2023-04-08 Place : Father / Mother / Legal Guardian’s Signature

8
 ENROLMENT FORM

IMPORTANT INFORMATION FOR STUDENTS (and their parents / legal guardians)

1. Before Taking Admission - Each Candidate, His/Her Parents & Legal Guardians are required to -

(a) Go through the FIITJEE eSchool Leaflet / Brochure / Information Booklet, word of advice, selection letter & website
thoroughly. Other than these no other verbal assurance of any kind is given by FIITJEE eSchool.

(b) It is advised that student undergoes a comprehensive Medical Examination to ensure that he/she is physically & mentally
fit to take the rigors of preparing for a competitive exam including but not limited to JEE Advanced & JEE Main etc. as the
case may be.

(c) Meet few FIITJEE / FIITJEE eSchool students successful in IIT-JEE / AIEEE {now JEE Advanced & JEE Main respectively},
NTSE etc & learn what made them successful. What was the contribution of FIITJEE in their success? Also meet a
few FIITJEE students not successful in IIT-JEE / AIEEE {now JEE Advanced & JEE Main respectively} / NTSE & learn why
they could not qualify IIT-JEE / AIEEE {now JEE Advanced & JEE Main respectively} / NTSE.

We highly advise that you also talk to Non - FIITJEE eSchool students both successful in IIT & the unsuccessful ones, to form
a clear opinion regarding what a coaching institute can do for you.

Please do not take admission at FIITJEE eSchool if you think FIITJEE eSchool is not the best for coaching.

An intelligent student having aptitude & analytical skills for JEE / NTSE etc has to have self study for at least 3 hrs. for every
hour taught at FIITJEE eSchool. Needless to say if you have not been a highly analytical student you have to put in even greater
efforts.

For success in JEE, it is also important to have excellent performance In XII Board Exams. Furthermore, JEE is a different
exam where you will feel lost if you do not focus on fundamentals and/or you do not develop / have high analytical skills. Any
amount of effort will be in vain without high analytical skills. Admission at FIITJEE eSchool does not mean that you have high
analytical skills. FIITJEE eSchool teachers will guide you in such a way that your fundamentals are strengthened and you can
improve your analytical skills tremendously, whether it happens or not will depend upon you. The only way to develop strong
fundamentals & improve your analytical skills & therefore your chances to get through JEE Main / JEE Advanced / NTSE,
etc with excellent School / Board performance is to solve each & every problem in FIITJEE eSchool assignments yourself.
You may have to make several attempts & even go back to your basics to refresh them to solve a particular problem. It is
this intensity & quality of effort which will help you develop good analytical skills. Ultimately a student who is enrolled with
institute will have to continuously work hard and must be regular in studies. In case, the teachers feel that the student is not
working hard, is creating indiscipline in the Institute, is irregular in attendance or is not responding properly, he/ she may be
expelled from the institute. The decision of FIITJEE eSchool in this regard will/shall be final and binding on the students. No
fee or part of the fee will be refunded in such case.

In the end remember, while anyone can appear in JEE Main / JEE Advanced or pretend to prepare but only the ones who
walk the right path will succeed. FIITJEE eSchool has no magic potion to make you successful. Preparing to achieve optimum
performance in both Boards & JEE will challenge every bit of your mental & physical energies.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Student’s Signature Signature of Father / Mother / Legal Guardian

Name : kavya garg Name : Girish kumarGarg
Date : 2023-04-08 Date : 2023-04-08
Place : Place :

9
 ENROLMENT FORM

2. FIITJEE eSchool starts making arrangements of infrastructure, faculty & other resources about 6 months before
commencement of financial year. FIITJEE eSchool admits students as per its capacity plans, (subject to unforeseen
circumstances & usual organizational risks) therefore each student taking admission has to pay complete fee under all
circumstances i.e. even if he/she discontinues for any reason whatsoever or parents /guardians be transferred. Not all
students who sit in our admission test are offered admission therefore you & parents have to be very sure before taking
admission as you have to pay complete fee under all circumstances.

Once a class starts FIITJEE eSchool does not admit any students. Therefore, any vacancy created by a student leaving
cannot be filled up. Since FIITJEE eSchool has to source infrastructure, faculty etc. in advance, loss of fees of students
leaving after taking admission will compel the institute to enhance fees for next batch of students which is unfair to
them. Therefore, students / parents must clearly understand this important aspect and take admission only if they are
fully satisfied.

3. FIITJEE has been producing the highest number of selections in IIT-JEE / JEE Advanced from Classroom programs for the
last 25 years, since 1997 and from all programs for the last 24 years since 1998. FIITJEE students have also been excelling
in NTSE, KVPY, Junior and Senior Olympiads. Many unethical institutes with an intention to highjack FIITJEE results
approach students, prepared by FIITJEE through its hard work & strategic inputs, in a bid to lure these students to join
them. Such unethical and unfair activities by other Institutes should be discouraged by students / parents by not indulging in
the same.

4. Any change in government rules, regulations, policies pertaining to the courses of competitive exam such as JEE
Main / JEE Advanced, Olympiads, KVPY, NTSE etc. which may render these exams as deleted or cancelled. In such
eventuality, FIITJEE eSchool shall not be held responsible in any manner whatsoever. However, FIITJEE eSchool shall
take all necessary steps to protect the interest of students.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Student’s Signature Signature of Father / Mother / Legal Guardian

Name : kavya garg Name : Girish kumarGarg
Date : 2023-04-08 Date : 2023-04-08
Place : Place :

10
 ENROLMENT FORM

DECLARATIONS / UNDERTAKINGS
Kindly do not take admission at FIITJEE eSchool, if the following declarations are not agreeable to you

Please read the Declarations / Undertakings carefully before signing

Declaration:

1. I/We hereby declare that the information furnished on this enrolment form etc. is correct to the best of my knowledge and belief.

2. I am taking admission in FIITJEE eSchool with the consent of my Father / Mother / Legal Guardian and after being satisfied in all
respects.

3. I/We undertake that the information / details furnished / given by me/us are correct and if any discrepancy is found in the said details
/ information, at any stage of my association with FIITJEE eSchool, FIITJEE eSchool may take any legal action against me/us which
FIITJEE eSchool may deem fit including but not limited to my (student) expulsion from the institute and I/We shall not be ent itled for
any refund of fees / claim / compensation / damages etc.

4. I/We undertake that I/We shall furnish / submit / complete the remaining required documents and formalities by at least two days
prior to commencement of course program. However if I fail to do so, FIITJEE eSchool may not allow me to attend the classes, unless
otherwise allowed by FIITJEE eSchool in writing. I/We further undertake that I/We shall not claim any refund of fees/ cost of study
material etc. already paid on ground of inability to furnish/complete documents / formalities.

5. I/We understand and acknowledge that FIITJEE eSchool does not give any guarantee / promise / assurance for success in JEE Main /
JEE Advanced / XII boards, inspite of providing the best teaching faculty and methodology, due to high-end competition and limited
number of seats in IIT. I undertake that I shall not hold FIITJEE eSchool responsible if I may not succeed the JEE or other competitive
exam.

6. I/We understand and acknowledge that preparation for JEE requires exhaustive hard work, extensive study, motivation and self confidence.I
undertake that I shall follow the rules and teaching methodology beside study and practice rigorously without loosing self-confidence.

7. I/We clearly understand that FIITJEE eSchool on completion of topics to be covered by FIITJEE eSchool in Class XI as per it’s plan,
will do goal refocusing for all Two Year Classroom Program students including Integrated program students to help each student
achieve maximum possible success. This means that for some students based on their performance after completion of 1st year, we
can change their goal to predominantly focus on exams other than JEE (Main & Advanced).

8. I undertake that if I leave the institute midway before completing the full course for any reason whatsoever, including but not limited
to transfer of my Father / Mother / Legal Guardian / ill health of myself or any other member of the family or my admission in any
institute / course / engineering college etc., or my studentship is cancelled because of misconduct etc., I or my Father / Mother / Legal
Guardian shall not be entitled for refund of fees.

9. I/We undertake that once I (student) join the FIITJEE eSchool / program offered by FIITJEE eSchool, I/We shall not be entitled to
change the study centre / program nor will I be entitled to refund of fees. However, if FIITJEE eSchool finds me competent / eligible
for the higher course / program, it may consider my request for change of program subject to payment of difference of course /
pr ogram fee & availability of seat.

10. In addition to the above, I understand without any ambiguity that the fee once paid is not refundable at all, whatever the reasons be,
nor is it adjustable towards any other existing courses at FIITJEE or any yet to be launched nor towards the fee of any other existing
or prospective student.

11. I undertake that I shall abide by the rules & regulations of FIITJEE or FIITJEE eSchool or FIITJEE’s associated schools. I undertake
that in case of any dispute relating to breach / violation of any of the Rules & Regulations of FIITJEE or FIITJEE eSchool or FIITJEE’s
associated school, the decision of the Management of FIITJEE eSchool shall be final and binding in all circumstances and situations,
whatsoever.

12. It is understood that this admission is valid only for the course and the duration for which I am taking admission and I/We (the student
and the Parents / Legal Guardian) shall not claim / request for admission to and adjusting the fees to any other course or duration.

13. I/We acknowledge that the course materials provided to the student by FIITJEE eSchool during the course of study at FIITJEE eSchool
are the intellectual property of FIITJEE eSchool and solely for personal purposes and not for commercial use. I further undertake thatI
shall not make copies of the study material provided by FIITJEE eSchool nor shall provide / give / distribute it to anyone else. Under
FIITJEE eSchool, I will be provided Study Material in digital form only, however I still have an option to purchase hard copy of the Study
Material by paying nominal cost.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Student’s Signature Signature of Father / Mother / Legal Guardian

Name : kavya garg Name : Girish kumarGarg
Date : 2023-04-08 Date : 2023-04-08
Place : Place :

11
 ENROLMENT FORM

DECLARATIONS / UNDERTAKINGS
14. FIITJEE eSchool has enjoyed great relationship with the students and parents. Almost all students in every class and every pr ogram have
been succeeding in coping up with huge pressure of simultaneous preparation for competitive exams along with school / board studies.
In few cases where some students do discontinue because they are not able to cope up with simultaneous competitive exam preparations
along with school / board studies, the parents have continued to support the good work of FIITJEE eSchool.

What will constitute deficiency in service?

If the average feedback of the particular subject teacher goes below 70% in the Feedback Form “Annexure - FB” (attached herewith),
then the said teacher will be considered to teach below the minimum FIITJEE eSchool Standard. If a teacher gets less than 70%
feedback in two consecutive periods then his/her teaching will be considered unsatisfactory by high FIITJEE eSchool standards.

15. I/We have fully satisfied ourselves with regards to quality and excellence of teaching at FIITJEE eSchool from all available information
/ sources and have decided to study only at FIITJEE eSchool. I/We wish to pay the entire fees as per the Fee
Plan e-ASCENT - One Year Live Online Classroom Program (Fee
Plan I / Fee Plan II / Fee Plan III) option (the same is signed by me & the student and is attached with this enrolment form) at our own
sweet will and convenience without any pressure / coercion from any one.
16. I/We agree to submit a photocopy of the JEE Admit Card of the student by 25th March of the concerned JEE year to FIITJEE and admit
card of various Other Engineering Entrance Exam as soon as I/We receive the same from the examining body.

17. I/We fully understand that FIITJEE eSchool is giving the scholarship because the student is expected to bring laurels to FIITJEE eSchool
and will spread good word of mouth among the students. I/We undertake that I / we shall / will fully cooperate to achieve this objective
including giving the JEE Admit Card before 25th March of the concerned JEE year and signing the letter of appreciation lauding FIITJEE
eSchool efforts. I/We further undertake that I/We shall attend the seminars / workshops / felicitation / interview etc. conducted
by FIITJEE eSchool after achieving rank by the student; however FIITJEE eSchool shall alone bear the entire cost and expenses in
respect thereof. I further undertake to endorse the efforts and contributions made by FIITJEE eSchool In achieving the rank while giving
Interviews to the media (print / electronic / web). If we fail to give the JEE admit card by 25th March of the concerned JEE year,
FIITJEE eSchool will have the right to discontinue the scholarship and/or recover the scholarship with interest and the student /parents
/ legal guardian will have no objection to the same.

18. I/We (student and the parents) declare that FIITJEE eSchool will have sole claim over the outstanding academic performance of the
student and further agree to give a letter of appreciation to FIITJEE eSchool for the outstanding result in form of a Letter, a Video
Interview or any other forum / format that FIITJEE eSchool deems fit.

19. I/We undertake and acknowledge that incase I/We indulge in any kind of litigation with FIITJEE eSchool, I/We shall not be entitled
for any Awards / Rewards / Scholarships / Benefits etc. from FIITJEE eSchool and shall refund / return such Awards / Rewards /
Scholarships / Benefits etc. If availed by the student, within a period of 15 days, failing which FIITJEE eSchool shall be entitled to
recover the same through the appropriate court / forum alongwith interest, damages and cost of litigation.

20. I/We undertake that I (student) shall not indulge in any illegal / unethical / unprincipled / immoral / corrupt / dishonest activities which
may cause loss of property, reputation and goodwill of FIITJEE eSchool. I / We further undertake that I/We shall compensate f or/
indemnify against any loss /damage caused to FIITJEE eSchool.

21. If a student is awarded scholarship by FIITJEE eSchool and does not perform at a similar level after joining FIITJEE eSchool Program
then a probe may be lodged to find out if the student got scholarship on his / her own merit or by using any unfair means. Parents and
Guardians of the student will be liable to pay back full fee of the program (that the student is enrolled for) with interest plus expenses
towards investigation and also a compensation of Rs. 10 Lacs, if the investigating committee concludes that student had not secured
the scholarship on his / her own merits.

Therefore, if your child has got scholarship using unethical means please do not take admission at FIITJEE eSchool.

22. I / We undertake not to fall prey or voluntarily participate in any Poaching activities. “Poaching” means the acts of competitor of
FIITJEE of luring, inducing and/or coercing the students studying with FIITJEE and already trained by FIITJEE, to leave FIITJEE and join
their institutes anytime during the course, after FIITJEE has put considerable effort, time and toil in training them and prepared them
for various competitive exams. Further, apart from intellectually investing in its students, FIITJEE also provides monetary incentives to several
students in the form of scholarships and rewards and the students have also been giving positive feedback with respect to the services
provided by FIITJEE. Therefore, any acts of Student / Guardian in conniving with a Competitor to enable such Competitor to claim the
benefit of all the hard work put in by FIITJEE shall also come within the ambit of ‘Poaching’ defined hereunder and in such cases the
act of such Student / Guardian shall amount to abetment of Poaching and such Student / Guardian shall be equally guilty of committing
a contractual breach hereunder and shall be disqualified for any rewards and the scholarship given at the time of admission shall stand
withdrawn besides being made liable for punitive damages. It is further clarified that mere referring to study material, other than the
material offered by FIITJEE will not be covered within the preview of the aforesaid.
I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Student’s Signature Signature of Father / Mother / Legal Guardian

Name : kavya garg Name : Girish kumarGarg
2023-04-08
Date : 2023-04-08 Date :
Place : Place :
12
 ENROLMENT FORM

DECLARATIONS / UNDERTAKINGS
23. I/We, the parent / guardian and/or the student, hereby severally and jointly declare unambiguously that I/We have read and understood
all the clauses contained in this Enrolment form, Annexure and Declarations and agree to abide by them without any reservatio n or
ambiguity.

24. I/We further declare that the student named on page no. 3 is taking admission in the program as mentioned on page 3 having
considered everything material, on his/her own sweet will after giving due consideration to rigors of time, distance and stud ies ahead
and with the permission of the Father / Mother / Legal Guardian without any coercion from any side. Further I/We understand that the
student is required to work hard to attain the average standard of the batch allotted in order to cope up with studies and put in extra
efforts if lagging behind in any subject / topic.

25. I/We further undertake to ensure that NACH Mandate if any given by us will be honoured by our bankers. In the event of these
NACH Mandates being dishonoured, FIITJEE is at liberty to initiate any action against us including legal proceedings under section 138
of Negotiable Instruments Act or other appropriate law.

26. I know that registered office of FIITJEE eSchool is situated at New Delhi.

27. I promise to abide by all rules and regulations of FIITJEE eSchool declaration, in letter and spirit.

28. In the event of any dispute between the parties regarding the interpretation of clauses of enrolment form or any claim etc. arising out
of taking admission in FIITJEE eSchool, the matter shall be referred to the Sole Arbitrator appointed by FIITJEE Ltd. The arbitration
proceedings shall be conducted in accordance with the provisions of the Arbitration & Conciliation Act, 1996 and statutory modification
thereof & rules made thereunder. It is further agreed that in spite of the fact that the Sole Arbitrator may be known to any of the Directors
or share holders and that he may have been dealing with the Company or had occasion to deal with any matter of this agreement
shall not disqualify him. Even if the Arbitrator may have expressed opinion in similar matter earlier shall also not render him disqualified.
The arbitrator so appointed shall not be incapacitated for reasons of their being the employee or an associate of FIITJEE Ltd. or Group
/ Subsidiary Companies, and for reasons of having any prior linkage with the company. The decision of the arbitrator shall be final &
binding on both parties. The venue of Arbitration shall be Delhi / New Delhi only.

29. Subject to clause 28 above, I/We (the student and the Father / Mother / Legal Guardian) understand that in case of any legal dispute,
the jurisdiction will be an appropriate court/forum in Delhi / New Delhi only and I/We shall not take recourse to such an action in any
other court /forum or anywhere else. In case I do, I shall inform the relevant court / forum regarding this jurisdiction constraint.

30. I have read the above carefully and have understood it clearly. I/We have also read the current FIITJEE eSchool Brochure carefully and
have understood it clearly. I have kept a photocopy of all the pages of this enrolment form including this declaration and Annexures
“A”, “B” & “C” for my future reference and timely compliance.

Additional declaration for Integrated Program Students only :

31. I / We (Student and the parent) am/are joining FIITJEE’s Integrated Program only after satisfying myself / ourselves about the structure of
program. I’ll fully abide by the rules and regulations of the school. I also understand that in the event I am expelled from the school on
any disciplinary ground I’ll raise no claim from FIITJEE for any academic and/or financial loss including course fee.

I hereby agree to the aforesaid terms & conditions on my own volition & without any undue influence.

Student’s Signature Signature of Father / Mother / Legal Guardian

kavya garg
Name : Name : Girish kumarGarg
Date : 2023-04-08 Date : 2023-04-08
Place : Place :

13
 ENROLMENT FORM

FIITJEE eSchool Programs

Program
Program Name
Code
For Admission in Class 6th

e-Little Genie - One Year Live Online Foundation Program 6023 Please affix the
2nd passport size colour
e-Maths Genie for Students in Class VI 6024
photograph of the
student here

For Admission in Class 7th

For Admission in Class 7th

e-UDAYA - Two Year Live Online Classroom Program 7023

e-Maths Genie for Students in Class VII 7024

For Admission in Class 8th

For Admission in Class 8th

e-UDAYA - One Year Live Online Classroom Program 8023

e-Maths
For Genie for in
Admission Students
Class in9th
Class VIII 8025

For Admission in Class 9th

e-ASCENT - Two Year Live Online Classroom Program 9038

e-RAMANUJAN - Four
For Admission Year Live
in Class 10thOnline Classroom Program for JEE Main & Advanced 9039

e-Four Year Live Online Classroom Program for JEE Main & Advanced 9046

For Admission in Class 10th

e-ASCENT - One Year Live Online Classroom Program 1054

e-Three Year Live Online Classroom Program for JEE Main & Advanced 1074

For Admission in Class 11th

e-Two Year Live Online Classroom Program for JEE Main & Advanced 2024 1147

e-PANINI-Two Year Live Online Classroom Program for JEE Main & Advanced 1164

e-Two Year Classroom Program for CUET (UG) & XII Boards 4165

For Admission in Class 12th

e-One Year Live Online Classroom Program for JEE Main & Advanced 1275

e-One Year Classroom Program for CUET (UG) & XII Boards 4167

For Admission in Class 12th Pass

One Year Live Online Classroom Program for JEE Main & Advanced 1364

ONE YEAR Extended Live Online Classroom Program for JEE Main & Advanced 1373

e-One Year Classroom Program for CUET (UG) & XII Boards 4168

14
 ENROLMENT FORM

FIITJEE School Network

Delhi (South)
Delhi (Punjabi Bagh)
Delhi (East)
Delhi (Dwarka)
Delhi-NCR (Noida)
Delhi-NCR (Gurgaon)
Delhi-NCR (Faridabad)
Chandigarh
Delhi-NCR (Ghaziabad)

Lucknow Kanpur
Prayagraj
Jaipur Gorakhpur
Gwalior

Bhopal Varanasi

Vadodara Patna

Indore
Kolkata
Nagpur

Mumbai (Ghodbunder)
Mumbai (Kandivali)
Mumbai (Malad)
Mumbai (Parel) Ranchi
Mumbai (Chembur) Pune Bokaro
Mumbai (Ghatkopar)
Mumbai (Bhandup) Bhilai
Mumbai (Powai) Raipur

Mumbai (Hiranandani Estate, Thane) FIITJEE Junior College, Visakhapatnam

Mumbai (Sanpada)
Mumbai (Kopar Khairane) FIITJEE Junior Colleges
ANDAMAN AND NICOBAR

Vijayawada (Krishna Estates)

FIITJEE Junior Colleges Vijayawada (MG Road)
Hyderabad (Saifabad) FIITJEE International School
Vijayawada
* This map is not to scale

Hyderabad (Dilsukhnagar)
Hyderabad (Kukatpally)
Chennai (Nungambakkam)
LAKSHADWEEP

Chennai (Kilpauk)
(INDIA)

Kochi
Chennai (Adyar)
Coimbatore Chennai (Sriperumbudur)
Chennai (KK Nagar)
Chennai (Anna Nagar)
FIITJEE Global School
Chennai (Thirumazhisai)
Vellore
Chennai (Velachery)
Published in February, 2022

Chennai (Trichy)
FIITJEE Global Schools
Chennai (Vengambakkam) &
Vellore

FIITJEE Associate Schools

FIITJEE Junior Colleges

FIITJEE Schools

15
 FIITJEE Centre Network

Delhi (South) Delhi (Janakpuri)

Delhi (Punjabi Bagh) Delhi (Dwarka)
Delhi (East) Delhi-NCR (Noida - Sector 16, Sector 62
& Greater Noida)
Chandigarh Delhi-NCR (Gurgaon)
Meerut
Delhi-NCR (Faridabad - Sector 15 & Sector 16)
Amritsar Lucknow (Gomti Nagar) Delhi-NCR (Ghaziabad - Rajnagar & Vasundhara)
Lucknow (Aashiana)
Jaipur (J.L.N. Marg) Lucknow (Aliganj)

Jaipur (Vaishali) Kanpur

Jaipur (Vidyadhar Nagar) Gorakhpur Prayagraj

* This map is not to scale

Gwalior Varanasi
Bhopal
Patna
Indore (Vijay Nagar) Dhanbad
Indore (Palasia) Bokaro
Indore (Annapurna) Kolkata (Rabindra Sadan)
Vadodara Kharagpur Kolkata (Ultadanga-Salt Lake)

Nagpur Durgapur
Jamshedpur

Cuttack
Mumbai (Andheri) Ranchi (Lalpur)

Mumbai (Kandivali) Ranchi (SOP Doranda) Bhubaneswar (Unit - IX)

Mumbai (Thane) Bhubaneswar (Infocity)
Mumbai (Navi Mumbai) Raipur
Pune (Swargate)
Pune (PCMC) Bhilai

Shaktinagar NTPC

Hyderabad (Saifabad) Visakhapatnam

Hyderabad (Dilsukhnagar)
ANDAMAN AND NICOBAR

Vijayawada
Hyderabad (Kukatpally)
Hyderabad (Miyapur)
Chennai (Nungambakkam)
Kochi
Published in March, 2022

Chennai (Kilpauk)
Bangalore (HSR Layout)
LAKSHADWEEP

Chennai (Adyar)
(INDIA)

Bangalore (Hebbal Kempapura) Chennai (Sriperumbudur)

Bangalore (Jayanagar) Chennai (KK Nagar)
Bangalore (Whitefield) Chennai (Anna Nagar)
Coimbatore
Chennai (Thirumazhisai)
Chennai (Velachery)
Chennai (Trichy)

Where winning is a habit !

30 YEARS OF INNOVATION, SINCERITY, ETHICS, CONSISTENCY & HARD WORK

National Admissions Office : FIITJEE House, 29-A, Kalu Sarai, Near Hauz Khas Metro Station, Sarvapriya Vihar, New Delhi - 110 016
Follow us for Ph. : 011 - 49283471 / 73 Email : info@fiitjee.com Web : www.fiitjee.com
Regular Updates

Download Updated Form and Upload