Leaders Pont

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(A Premier Institute for BOARDS / JEE- MAINS / CET)

Admission Form
To,
The Incharge,
Leaders Point,
Alipurduar Jn-736123
COURSE APPLIED FOR:
______________________________________________________________________
Respected Sir,

I want to take the Admission in Leaders Point; I have read the Terms and Conditions of the institute given overleaf and agree to
abide by the same. My particulars are given below:
THE FORM IS TO BE FILLED IN CAPITAL LETTERS ONLY
1.

Name of the Student:..

Gender : Male

Female , Nationality:.

2.

Father/Guardians Name:

3.

Phone No. - Residence: ...

Particulars

Father

Mother

Name
Mobile
4.

Date of Birth: Blood Group:.

5.

Address

of

Correspondence:..

............................................................................................................
6.

Permanent Address:..............................................

7.

State:.....................................Pin Code:....................

8.

Name of the School from where you appeared / Appearing for Class:
..

9.

Percentage of marks obtained in the last examination: (Attach a photocopy of Mark sheet)

Date : ..
Yours faithfully,
Place : .
(Signature of the student)

Terms & Conditions

COMPULSARY FOR ALL CANDIDATES SEEKING ADMISSION IN LEADERS POINT
I agree & abide by all rules, regulations, Terms & Conditions of LEADERS POINT. & I know that my
admission is subject to, final approval by INSTITUTE & payment of INSTITUTE fees in time, without which admission
will be deemed as cancelled without any intimation & assigning any reason. I know that all notices, informations,
correspondences should be updated from INSTITUTE website time to time by myself & in no way INSTITUTE will be
held responsible for any inconvenience & any type of delay. I know that my personal Email ID is compulsory and
maximum correspondence will be done through Email from INSTITUTE side.

Signature of the Applicant

I agree & abide by all rules, regulations, Terms & Conditions of LEADERS POINT as Parent of above Candidate.

Signature of the Parents

Verification
I have personally verified all contents in application & documents & found Correct.
Head of Admission/Training/ coaching Centre
Application forwarded / not forwarded

Managing Director