Enrollment Form
Student Enrollment Form
First Name
Last Name
Email
Mobile
Mode of Learning
Select Mode of Learning
Offline
Online
Age
Select Age
5 to 6
7 to 9
10 to 12
13 to 16
18+
Course
Select Course
Select the Course
Payment Method
Full Payment
Quarterly Payment
Location
Select Location
HRBR Layout Block 2
Byrathi Cross
Horamavu
Preferred Batch Days
Monday & Tuesday
Thursday & Friday
Saturday & Sunday
Saturday, Sunday, Monday & Tuesday
Monday, Tuesday, Thursday & Friday
Thursday, Friday, Saturday & Sunday
Monday, Tuesday, Thursday, Friday, Saturday & Sunday
Preferred Batch Time
Select Preferred Batch Time
9:00 AM - 10:15 AM
10:30 AM - 11:45AM
12:00 PM - 1:15 PM
2:00 PM - 3:15 PM
3:30 PM - 4:45 PM
5:00 PM - 6:15 PM
Preferred Batch Time
Select Preferred Batch Time
9:00 AM - 10:00 AM
10:15 AM - 11:15AM
11:30 AM - 12:30 PM
1:30 PM - 2:30 PM
2:45 PM - 3:45 PM
4:15 PM - 5:15 PM
5:30 PM - 6:30 PM
Preferred Start Date
Parent/Guardian's Name
Parent/Guardian's Phone Number
Special Instructions