Admissions 2023

Payment Mode Online

Application Form Number 112300866

Undergraduate
Programme Applied & Campus Selected

First Choice 4 Year UG Program in Fashion Design & Technology-Jaipur

Second Choice 4 Year UG program in Fashion Styling & Image Design-Delhi (West)

Exam Date January 2023

Exam Center Online

Personal Details
First Name Middle Name Last Name

Likhita Vagvi Rambhatla

Date of Birth 22/10/2002

Gender Female

Nationality Indian

Blood Group O+

Email (Applicant's) likhitavagvi7@gmail.com

Mobile / Phone (Applicant's) 9014691633

Alternate Mobile (Applicant's) 7816027417

Family Details
Father Name Venkata Subbarao Rambhatla Mobile No 7816027417

Father's Occupation Email ID

Father's Organization Father's Designation

Father's Annual Income (Rs. in

0 Father's Qualification
lakhs)

Mother's Name Venkata Sridevi Rambhatla Mobile No 9014691633

Mother's Occupation Email ID

Mother's Organization Mother's Designation

Mother's Annual Income (Rs. in

0 Mother's Qualification
lakhs)

Address Details
Present Address Flat No: 401, Sai Sukhadham Shanthi Nagar, Madeenaguda Hyderabad, Telangana

City Hyderabad State Telangana

PIN 500049 Country India

Telephone

Permanant Address Flat No: 401, Sai Sukhadham Shanthi Nagar, Madeenaguda Hyderabad, Telangana

City Hyderabad State Telangana

PIN 500049 Country India

Telephone

Your Mailing Address Preference

Educational Details
Qualification Year of Stream State City Institution/School Branch Board %age
Passing Name /
Location

10th 2018 Generals Telangana Hyderabad Sri Chaitanya Junior seven hills SSC 87
College

12th 2020 Science Telangana Hyderabad Sri Chaitanya Junior madeenaguda State Board 86.6
College

Qualification Year of Stream State City Collage Location %age

Passing

Graduation

FOR WAIVER OF GENERAL PROFICIENCY TEST (GPT) & DESIGN APTITUDE TEST (DAT)

Applicable only for UG BA (Hons) Interior Architecture & Design, and UG BA (Hons) Product Design courses Please enclose a copy of NATA
score card (whichever applicable).

Test Name Appeared Score / Percentile Month / Year

NATA (2021, 2022) 0

NIFT (2021, 2022) 0

NID (2021, 2022) 0

Local Guardian’s Details

Local Guardian's Name Telephone

Address

Payment Authorization
Reciept No.

Transaction No. 20221212010460000809169701808398337

Order Info success

Application Fee Rs. 1500.00

Declaration of Applicant

Declaration of Applicant:I certify that the particulars furnished are true and complete in all aspects, and no information has been
withheld.I understand that falsifying documents or information on this application may result in penalties up to and including immediate/
permanent dismissal from the Academy. I understand that misrepresentation, falsification of documents, and/or the withholding of
requested information in regard to this application are serious offences that may result in prosecution.

I accept that no changes will be entertained once the duly filled forms have been submitted and that should my aplication be submitted
with incomplete forms it will be rejected.

Declaimer
1. Academy will make all reasonable efforts to deliver the course as outlined on Academy's site and in any brochure or published material.
Academy reserve the right to cancel your course booking in Academy's absolute discretion, and refund all fees paid by you, irrespective of
whether the course itself is to proceed, without any further liability on Academy's part.

2. Personal information may include information that specifically identifies you as an individual, such as your full name, telephone
number, e-mail address, postal address. We may use personal information for a number of purposes such as to respond to an e-mail or
particular request from you, to provide you with information that we believe may be useful to you, such as information about products or
services provided by us or other businesses, to comply with applicable laws, regulations, and legal process, to protect our rights, the rights
of affiliates or related third parties, or take appropriate legal action, such as to enforce our website terms of use, to keep a record of our
transactions and communications, as otherwise necessary or useful for us to conduct our business, so long as such use is permitted by
law. You understand and specifically agree that we may use personal information to contact you through any contact information you
provide through this website, including any email address, telephone number, cell phone number, text message number, or fax number.
We share and give access to personal information to our employees and agents in the course of operating our businesses. We may also
share personal information with other affiliates or business units within the Company, or our franchisees, affiliates and other companies
that collaborate with us or perform services on our behalf. If you believe we or any company associated with the company has misused
any of your information please contact us immediately and report such misuse. We may share personal information in response to a
court order, subpoena, search warrant, law or regulation. If you submit information or a posting to a chat room, bulletin board, or similar
"chat" related portion of this website, the information you submit along with your screen name will be visible to all visitors, and such
visitors may share with others. Therefore, please be thoughtful in what you write and understand that this information may become
public.

3. On successful completion of the program at Pearl Academy student receive a diploma /certificate. Pearl Academy facilitates enrolment
of students for Indian and International Bachelor's degree from recognized institutions for UG program . Pearl Academy does not grant
any degree programs of it's own.

4. Pearl Academy is not accredited by UGC, AICTE (except for PGDM program) or any other regulatory body.