Enrolment Form
1. Course Name
2. Year of attempt
3. Name (IN CAPITAL LETTERS)
4. Date of Birth (mm/dd/yyyy) 
5. Address for Correspondence
Pincode :-        Landline No :-        Mobile No :-  
6. Category
7. Mother's Name
    Occupation
8. Father's Name
    Occupation     Contact No.    
9. Complete the details:-
    Class         Name of School         Board         %
     IX                           
     X                           
     XI                           
     XII                           
10.Have you already appeared in IIT-JEE/AIEEE ? If Yes,give detail:-
                 Name of the Exam         Year in which appeared         Result
                          
                          
11. How did you come to know about Triumph Academy?
12. For DD/Cheques:-
Number:      DD/CQ Date:      (mm/dd/yyyy) 
Bank:            Branch:               
Amount:      
                    


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