INSTITUTION FOR BHARATHANATYAM

ADMISSION FORM

NAME OF THE STUDENT _________________________________

DATE OF BIRTH _________________________________

SCHOOL/COLLEGE ---------------------------------------------------

CLASS/EDUCATIONAL
QUALIFICATION --------------------------------------------------

NATIONALITY _________________________________

FATHER/GUARDIAN’S NAME __________________________________

FULL ADDRESS __________________________________

__________________________________

TELEPHONE/MOBILE NO’S __________________________________

OCCUPATION __________________________________
(FATHER/MOTHER/SELF) __________________________________

DATE _____________ SIGNATURE OF PARENT/GUARDIAN

NOTE: ADMISSION FEE :Rs 500/-

TUITION FEE :Rs 2000/- per month

Students must attend classes regularly in the prescribed uniform

on the allotted days/time. Fees to be paid by 7th of every month