ADMISSION FORM

ADMISSION FORM NO:

(for office Use Only)

IMPORTANT INSTRUCTIONS:

Please ensure all fields of this admission form should be filled properly.
Use only CAPITAL LETTERS of English Language to complete this application form.

Tick () in the appropriate box wherever applicable.

Paste your
recently taken
passport size
colour
Photograph.
Do not staple the

1. Candidate Name:
2. Fathers Name:
3. Mothers Name:
4. Contact No/s:
5. ICAI Registration
No

PIN No.

6. Communication
Address:

7. Email Id:
8. Emergency
Contact
No. with Name:
9. Domicile ( State /
Country):
10. Courses Applied
For:
11. Subject(s):
12. Exam Due Date:
D
D
13. Date of Birth:

M
- Y
14. Gender:

M
DECLARATION
I/We, the undersigned, hereby solemnly and truly declare and affirm that, the information provided by me/us in the application
form is true and correct. Further, if the undersigned student is admitted to the institute for the study course applied by him/her,
I/We promise to abide by all the rules & regulations and disciplinary norms of the institute as long as undersigned student
remains a registered student of G S Academy.

Signature of the Parents/ Guardian:

Signature of the Student:

Guaranteed Success Academy

U-67, Third Floor, Upadhyay Block, Shakarpur, New Delhi 92

www.gs-academy.com | gsacademydelhi@gmail.com | +91-9990056582 | +91-9540037666

Date:

Date:

Place:

Place:

Guaranteed Success Academy

U-67, Third Floor, Upadhyay Block, Shakarpur, New Delhi 92

www.gs-academy.com | gsacademydelhi@gmail.com | +91-9990056582 | +91-9540037666