Google Form - Prayaas Education

Prayas Admission Form

Full Name *

Date of Birth *

Gender *

Male

Female

Other

Passport Size Photo *

Maximum file size: 516MB

Street *

Landmark

District *

State *

Pincode *

Correspondence Address

Street *

Landmark

District *

State *

Pincode *

Student Contact Number *

Student Email Address *

Highest Education *

Father's / Mother's Name *

Parent's Occupation

Parent's Contact Number *

Parent's Email Address

Declaration

I agree to the declaration above

If you are human, leave this field blank.

Prayaas Admission Form

Admission Application Form

1. Student Information

2. Course Selection

Section 1 — Student Information

Fields marked * are required.

Student Details

Full Name *

Date of Birth *

Gender *

Male Female Other

Passport Size Photo *

JPG / PNG (Max 1 MB)

Permanent Address

Street *

Landmark

District *

State *

Pin Code *

Correspondence address is same as permanent address

Correspondence Address

(For courier / notices — please give an address where you can reliably receive post)

Street *

Landmark

District *

State *

Pin Code *

Contact & Education

Student Contact Number *

Student Email Address *

Highest Qualification *

Parent / Guardian Information

Father's / Mother's Name *

Parent's Occupation

Parent's Contact Number *

Parent's Email Address

Declaration

"I hereby declare that the above information is true to the best of my knowledge. If this information is found to be false, my admission may be cancelled by the institution."

I agree to the declaration above *

Section 2 — Course Selection

Select your examination, course and payment option.

Exam Preferences

Examination *

Medium of Answer Writing *

Course Selection

Course *

Mode *

Total Fees

₹ 0

Payment Mode

Cash Card UPI

Payment Preference

Full Payment Part Payment

Select Number of Installments

Fee Refund Declaration

I understand and agree that once the admission fee is paid, it is non-refundable under any circumstances.

I agree to the fee refund declaration.

Prayaas Admission Form

Admission Application Form

1. Student Information

2. Course Selection

Section 1 — Student Information

Fields marked * are required.

Student Details

Full Name *

Date of Birth *

Gender *

Male Female Other

Passport Size Photo *

JPG / PNG (Max 1 MB)

Permanent Address

Street *

Landmark

District *

State *

Pin Code *

Correspondence address is same as permanent address

Correspondence Address

(For courier / notices — please give an address where you can reliably receive post)

Street *

Landmark

District *

State *

Pin Code *

Contact & Education

Student Contact Number *

Student Email Address *

Highest Qualification *

Parent / Guardian Information

Father's / Mother's Name *

Parent's Occupation

Parent's Contact Number *

Parent's Email Address

Declaration

"I hereby declare that the above information is true to the best of my knowledge. If this information is found to be false, my admission may be cancelled by the institution."

I agree to the declaration above *

Section 2 — Course Selection

Select your examination, course and payment option.

Exam Preferences

Examination *

Medium of Answer Writing *

Course Selection

Course *

Mode *

Total Fees

₹ 0

Payment Mode

Cash Card UPI

Payment Preference

Full Payment Part Payment

Select Number of Installments

Fee Refund Declaration

I understand and agree that once the admission fee is paid, it is non-refundable under any circumstances.

I agree to the fee refund declaration.

Payment Preference

Full Payment Part Payment

Select Number of Installments

Prayaas Education ^TM

Prayaas Education ^TM

Admission Application Form

Section 1 — Student Information

Student Details

Permanent Address

Correspondence Address

Contact & Education

Parent / Guardian Information

Declaration

Section 2 — Course Selection

Exam Preferences

Course Selection

Total Fees

₹ 0

Payment Mode

Payment Preference

Fee Refund Declaration

Admission Application Form

Section 1 — Student Information

Student Details

Permanent Address

Correspondence Address

Contact & Education

Parent / Guardian Information

Declaration

Section 2 — Course Selection

Exam Preferences

Course Selection

Total Fees

₹ 0

Payment Mode

Payment Preference

Fee Refund Declaration

Payment Preference

Prayaas Education^Tm

Quick Links

Courses

Contact Us

Prayaas Education TM

Prayaas Education TM

Admission Application Form

Section 1 — Student Information

Student Details

Permanent Address

Correspondence Address

Contact & Education

Parent / Guardian Information

Declaration

Section 2 — Course Selection

Exam Preferences

Course Selection

Total Fees

₹ 0

Payment Mode

Payment Preference

Fee Refund Declaration

Admission Application Form

Section 1 — Student Information

Student Details

Permanent Address

Correspondence Address

Contact & Education

Parent / Guardian Information

Declaration

Section 2 — Course Selection

Exam Preferences

Course Selection

Total Fees

₹ 0

Payment Mode

Payment Preference

Fee Refund Declaration

Payment Preference

Prayaas EducationTm

Quick Links

Courses

Contact Us

Prayaas Education ^TM

Prayaas Education ^TM

Prayaas Education^Tm