E2V Academy - Enrollment Form

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Official Enrollment Form

Complete all sections to finalize your enrollment

Enrollment No.

To be filled by office

Registration Number *

Please enter your registration number (min 3 characters)

Registration number noted

Enrollment Details

Course Type *

Please select a course type

Great choice!

Mode of Learning *

Please select mode

Batch Start Date *

Please select batch start date

Batch Time *

Please select batch time

Student Details

Full Name *

Please enter valid name

Date of Birth *

Please select date of birth

Phone Number *

Enter valid 10-digit number

Email Address *

Enter valid email

Current Address *

Please enter address

Document Uploads (PDF/JPG, Max 5MB each) - Click to preview

10th Marksheet *

Choose File

Please upload 10th marksheet

12th Marksheet *

Choose File

Please upload 12th marksheet

Graduation Certificate (Optional)

Choose File

Passport Size Photo *

Choose Photo

Please upload photo

Resume/CV *

Choose Resume

Please upload resume

Fee Payment Details

Total Course Fee (₹) *

Enter total fees

Amount Paid (₹) *

Enter paid amount

Payment Mode *

Select payment mode

Transaction ID / Reference No.

Total Course Fee: ₹ 0

Amount Paid: ₹ 0

Pending Amount: ₹ 0

Learning Resources Received

Welcome Kit

Study Material

LMS Login Credentials

Student ID Card

Signature Uploads (JPG/PNG, Max 2MB each) - Click to preview

Student Signature *

Upload Signature

Student signature is required

Parent/Guardian Signature (Optional)

Upload Signature

Counsellor Signature *

Upload Signature

Counsellor signature is required

Declaration

I hereby declare that all the information provided above is true and accurate to the best of my knowledge. I understand that any false information may lead to cancellation of my enrollment. I agree to abide by all rules and regulations of E2V Academy.

I accept the above declaration *

You must accept the declaration

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