REGISTRATION FORM

DELLS ENGLISH LANGUAGE, COMPUTER AND COACHING ACADEMY MARDAN
REGISTRATION FORM NO#
Date

DayMonthYear
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender*

MaleFemale
Father Name*
E-mail*
Nationality*
Phone Number*

Area CodePhone Number
School/College Where Studied/Studying
Field of Study to which registration is sought*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Conditions of Acceptance

1) The fee is to be submitted in advance which is non refundable.

2) A student found guilty of any misbehaviour is liable to resuricted.

3) In pre-college coaching classes the target course is 80%.
Declaration*

I confirm that the information above is correct and i hereby agree to terms and conditions as set by the institution.
Should be Empty:

DELLS ENGLISH LANGUAGE, COMPUTER AND COACHING ACADEMY MARDAN