Enquiry Form
COURSE APPLIED FOR: _____________________________________________
THE FORM IS TO BE FILLED IN CAPITAL LETTERS ONLY
1.
Name of the Student : ___________________________________________________
2.
Gender:
3.
Father/Guardian’s Name : _______________________________________________
4.
Father’s Occupation : ____________________________________________________
5.
Email ID: ________________________________________________________________
6.
Contact No. - Student: ___________________________________________________
Male
Female
Father: _____________________ Mother: _____________________
7.
Date of Birth: ____________________________________________________________
8.
Permanent Address:______________________________________________________
__________________________________________________________________________
9.
Name of the School from where you appeared / Appearing for Class:
__________________________________________________________________________
10. Percentage of marks obtained in the last examination:_____________________
11. Board (CBSE/RBSE):_____________________________________________________
12. Details about Your Sibling:
Name 1 (Brother / Sister) ___________________________Class _______________
Name 2 (Brother / Sister) ___________________________Class _______________
13. I came to know about Exponential Learning from
Newspaper
Pamphlet
Banner or Hoarding or Poster
Facebook
Through Friend
Others
Date : ___________________________
Place : ___________________________
(Signature of the student)