E-SAT EKLAVYA SCHOLARSHIP APTITUDE TEST

Registration Form 2023-2024

Welcome to EA2 Academy. Thank you for filling out this form. We are asking you for these information as a means of getting to know you better and in order to add you to our mailing list so that we can keep you informed about academy.

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Full Name

Email

Pick Your Class Choose Your Class Class 5thClass 6thClass 7thClass 8thClass 9thClass 10thClass 11thClass 12th

School Name

Board

Previous Result (percentage/grade/CGPA)

Father Name

Father Occupation

Mother Name

Mother Occupation

Contact No. 1

Contact No. 2 (Optional)

Pick Your Gender Choose Your Gender Male Female

Pincode

Mailing Address

DECLARATION BY THE STUDENT

I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.

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