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Bank A/C details
A/C Name:	Chaithanya Classes
A/C No:	0368073000001046
IFSC/NEFT CODE:	SIBL0000368
SWIFT CODE:	SOININ55
Bank:	South Indian Bank, East Fort, Trichur-5, Kerala, INDIA.
PAN: AAPFC3913M GSTIN: 32AAPFC3913M1ZB
** Payments in INR only.
** NB:- While making remittance, Parent or Guardian should mention the student name in the sender to receiver information of the RTGS/NEFT/SWIFT Application.

#		NEET	JEE/KEAM
i	Improvement Batch - NEET(UG) - 2025	CC 1	Nil
ii	Crash Course 2024	CC 5	CC 6
iii	Crash Course 2025	CC 7	CC 8
iv	IMPROVEMENT BATCH-NEET(UG) - 2025 REGULAR LIVE ONLINE INTERACTIVE CLASSES / RECORDED VERSION OF THE DAILY REGULAR LIVE ONLINE CLASSES	CC 9

1	Name*
2	Sex*	Male Female
3	Year of Exam*
4	Father’s Name*
5	Occupation*
6	Address*
7	Mobile Number of the parent*
	Confirm Mobile Number of the parent* (Re-enter the above mobile number for confirmation.)
8	E-mail Address*
	Confirm E-mail Address* (Re-enter the above email id for confirmation.)
9	Name of the institution last studied / now studying*
10	Class in which now studying / Repeater (Select which is applicable)*	Repeater +2 State Syllabus 12th CBSE/ICSE +1 State Syllabus 11th CBSE/ICSE Other Stream 10th Std 9th Std 8th Std 7th Std 6th Std 5th Std
11	Percentage of Marks/Grade at 10th level* (Attested copy of the mark list should sent by email. If not available please mention 'NA')
12	Percentage of Marks/Grade at 12th level* (Attested copy of the mark list should sent by email. If not available please mention 'NA')
13	Score in the Entrance Examinations (For Repeaters only)	KEAM NEET JEE Main
	Score
14	Languages known	English Malayalam Tamil Hindi
15	Hobbies
16	Ambition in life
17	Details of the fee remitted - Payment details
	RTGS/NEFT/SWIFT*
	Name of the Account Holder*
	Amount Remitted*
	Name of Bank*
	Date of Remittance*
18	Valid ID proof of Student(Adhar, School ID, etc..)* (Upload jpg \| jpeg \| png Files.)
19	Upload Passport Size Photo of Student.* (Upload jpg \| jpeg \| png Files.)
20	I, the parent/guardian of the student hereby acknowledge that
	(a) I have received the Course Programme, I have read it and I have understood all the rules & regulations and my ward will comply with all the rules and regulations mentioned in the Course Programme.
	(b) Apart from the live class, my ward will be entitled to view the recordings 3 times. If my ward is found sharing video or login credentials of the account, Chaithanya Classes is free to take any legal action.

APPLICATION FORM FOR CLASSROOM COURSES FOR NON NRI STUDENTS

CHAITHANYA CLASSES
& PROF. P.C. THOMAS CLASSES

Location Map

Copyright 2023, www.chaithanyaclasses.com. All Rights Reserved.
Site Designed by Acutis Digital Pvt Ltd

APPLICATION FORM FOR CLASSROOM COURSES FOR NON NRI STUDENTS

CHAITHANYA CLASSES & PROF. P.C. THOMAS CLASSES

Location Map

Copyright 2023, www.chaithanyaclasses.com. All Rights Reserved. Site Designed by Acutis Digital Pvt Ltd

Testimonials

CHAITHANYA CLASSES
& PROF. P.C. THOMAS CLASSES

Copyright 2023, www.chaithanyaclasses.com. All Rights Reserved.
Site Designed by Acutis Digital Pvt Ltd