CHAITHANYA CLASSES

IN ASSOCIATION WITH

PROF. P.C. THOMAS CLASSES


Kammath Lane, Sankarayya Road, West Fort, Thrissur - 4.

Phone: +91-7306022990, +91-7306022994, +91-8086767293

Website : www.chaithanyaclasses.com, Email : chaithanyaclasses@gmail.com

PAN: AAPFC3913M                                          GSTIN: 32AAPFC3913M1ZB

APPLICATION FORM FOR ONLINE COURSES FOR NRI STUDENTS

Bank A/C details
A/C Name: Chaithanya Classes
A/C No: 0368073000001047
IFSC/NEFT CODE: SIBL0000368
SWIFT CODE: SOININ55
Bank: South Indian Bank, East Fort, Trichur-5, Kerala, INDIA.
** NRI Students should make the Remittance only through US Dollar (USD) to above bank account.
** NB:- While making remittance, Parent or Guardian should mention the student name in the sender to receiver information of the SWIFT Application.
# NEET JEE/KEAM
i IMPROVEMENT BATCH-NEET(UG) - 2025 Nil
ii Recorded repeater classes 2025
 Nil
iii Live online interactive classes with instant doubt clarification for Regular Tuition cum Entrance Coaching 2024- 2026
iv Crash Course -2024
v Live online interactive classes with instant doubt clarification for Regular Tuition cum Entrance Coaching 2025
vi Crash Course -2025
[ * Sign Indicates Mandatory Fields ]
1 Name*
2 Sex*
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)*
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)
Score
14 Languages known English Malayalam Tamil Hindi
15 Hobbies
16 Ambition in life
17 Details of the fee remitted - Payment details
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.

Informations

Address

Chaithanya Classes.

Kammath Lane, Sankarayya Road, West Fort, Thrissur-4

7306022990, 7306022994, 8086767293

chaithanyaclasses@gmail.com

www.chaithanyaclasses.com

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