SBM ACADEMY AFFILIATES MSSIYPN RESEARCH CENTRE REG.NO:220---(ON LINE AND OFF LINE PROFESSIONALS)
  STUDENT REGISTRATION FORM
 
    SBM ACADEMY
    World wide educational institute
                          For
On line tutoring/home/ class room      coaching and guidance   
               www.sssbm.page.tl
-------------------------------------------------
 
Online/Home/class room coaching   
          Application form
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( Please fill the form and sent it through email with your signature using digital pen or take scan copy and sent it across—Signature is must )
 
REGISTRATION FEES:
STEP ONE       :   Open the website    www.sssbm.page.tl
STEP TWO      :   View pages at right hand side and click each page to view contents
STEP THREE :    Find your online tutoring page , view sub page of registration form
 
REGISTRATION FEES (Non-Refundable)
 
 As per recent changes by our expert committee review and implementation,  we will not  commit or respond without registration fees-Non refundable- should be send along with this application form—( This fees includes initial print out ,stationery, professionals /panel members consultation for  initial examination on your requirement, Assessment on your status of class schedule , time allocation, Giving you consultation, suggestions for modifications, changes, further requirement etc )
 Candidates (As per Indian Currency)
from India -         Rs      500

Outside India –    Rs: 1,000
 
 
 
      Photo
With signature
 
 
 







NAME OF THE CANDIDATE : ---------------------------------------------------------
                                                                                                        
MALE OR FEMALE :  -------------------                            
AGE : (in years) -------------------DATE OF BIRTH:----------------------------------
MARRIED /UNMARRIED: ---------------------------------------------------------------         
JOB /BUSINESS : ------------------------------------------------------------------------
DESIGNATION :----------------------------------------------------------------------------
RESIDING COUNTRY WITH COMMUNICATION ADDRESS AND PIN CODE ---------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
 PHONE NUMBER WITH COUNTRY CODE:----------------------------------------------------------------MOBILE NUMBER WITH COUNTRY CODE-------------------------------------------------------------------EMAIL ID---------------------------------------- --------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------PREVIOUS QULIFICATIONS MODE OF STUDY(Correspondence or regular)AND YEAR OF COMPLETION-------------------------------------------------------------------------  COACHING REQUIRED FOR:
SCHOOL LEVEL / UNDER GRADUATE / POST GRADUATE / ICWA / CA / ACS / MBA/ OTHERS--------------------------------------------------MENTION THE NAME OF COURSE :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------COURSE IS ENROLLED OR YET TO BE ENROLLED:---------------------------------------------------- IF ALREADY ENROLLED , ROLL NUMBER OF THE COURSE : ----------------------------------------NAME OF THE INSTITUTION :----------------------------------------------------------------------------------------------------------------------------
COUNTRY AND STATE---------------------------------------------ADDRESS :----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------MODE OF THE COACHING YOU EXPECT(SELECT ) : ONLINE / ONLINE + OTHER COMMUNICATIVE /  HOME / CLASS ROOM  ) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------SELECT  DUREATION/METHOD OF THE COACHING :
1)     1) Short term 2) Long term 3) Exam oriented 4) Detailed way 5) Regular 6) Week ends 7) At your convenient time Group coaching 9) Individual coaching , please mention (in words )------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNIVERSITY NAME ,DEPARTMENT AUTHORITY, ADDRESS AND TELEPHONE NUMBERS  :----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- SELECT YOUR MODE OF PAYMENT : INTERNET BANKING / CHEQUE / WESTERN UNION MONEY TRANSFER / CASH/ ACCOUNT CREDIT
KNOWLEDGE LEVEL  OF THE CANDIDATE IN SUBJECT:A) Nill knowledge B) Little bit /basic   c) knows well but choose the coaching for scoring higher grade or marks 
CONDITIONS:
1)     our experts decision is final.
2)      Completion of the entire  process depends on the cooperative level of the client/student. If our experts found any dissatisfied level of response from the client then the decision of proceeding or dropping (after beginning, middle or before completion ) will be , at any time, on the basis of panel decision.
3)      Terms and Conditions are amendable or changeable at any time in future by our panel experts for the benefit of students and institution
I ---------------------------------------    gone through , understood, and accept all the above information , terms and conditions with the full amount of conscious mind and assure that I will conduct all my dealings in professional way with the experts of our Academy
Date
Place:                            SIGNATURE
                                          
       

 
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