Application for Admission Basic Information Are you a student?* SelectYesNo First Name* Last Name* Date Of Birth* Gender * SelectMaleFemaleOthers Mobile no.* [intl_tel* phone id:mobile initialCountry:IN] Email ID* School / College Name* Standard / Course* Father's Name* Occupation Mother's Name* Occupation Address Information Address Line* City* Country* State* District Pincode* Class Information Class type* Select Class TypeOnlineIn-person Branch* —Please choose an option—AnnanagarKoratturThirumangalam Select your preferable days and time slot for your class. Monday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm Tuesday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm Wednesday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm Thursday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm Friday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm Saturday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm Sunday —Please choose an option—4.00 pm to 5.00 pm5.00 pm to 6.00 pm4.00 pm to 6.00 pm I agree that all of the information I have filled above is correct.