Core Academy

Student Name *

Father's Name *

Mother's Name *

Parent's / Guardian's Occupation

(Father) *

(Mother) *

Date Of Birth *

Gender *

Male Female

Category *

GEN SC ST OBC PH

Address *

Village/City *

District *

State *

Pincode *

Mobile (Parent) *

Mobile (Student) *

Whatsapp No. *

Email ID *

Present School Name & Address *

Current Board Of Education *

CG CBSE Others

Medium Of Education *

English Hindi

Marks(%)/CGPA in Previous Class*

Your Present Class *

6th 7th 8th 9th 10th 11th Maths 11th Bio 11th Commerce

How You Knew About The Test *

NewsPaper Friends Relative Ex-Core Student E-Media Hand Bill

Are You Intrested In Our Courses *

Yes No

Choice Of Test Date *

14-Jan-24 21-Jan-24

Do You Want a Career Guidance From Us? *

Yes No

Does any of your brother or sister study in class 5th to 12th ? *

Yes No

Declaration by student *

I here by state that I have filled this application form on my own wish with true details. I will not object rights of Core Academy regarding Examination Centre, Exam Date if changed. I will not claim for any kind of refund (of Rs 300/- exam fee) after submission of this form. I will not conduct any mischievous during the examination and if i am found guilty of such activities then i will not be eligible for any advantage.

APPLY

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