Sambhu Mitra : : IIT Academy

ADMISSION FORM

Form - Lake Market(IIT ACADEMY)

Session : : 2024-25

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Full Name

Guardian's Name

Date of Birth

Gender

Male

Female

Category

GEN

OBC

Correspondence Address

PIN Code

Mobile (Parent's number)

Mobile Student's number (for Whatsapp use)

Phone number(with STD code)

Email ID

Applying for Class

Subjects Applied for (with Batch time and day)

Current School/College Name

Board/University

Examination Passed

Marks obtained

CGPA

Reference

Payment method

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