REGISTRATION FORM SIDE - 1

Aakash National Talent Hunt Exam (ANTHE)-2017

Form No.: .......................................
(Divisions of Aakash Educational Services Pvt. Ltd.) ANTHE Roll No.: ............................................. PS ID: .............................................
IMPORTANT INSTRUCTIONS For Class X Studying
To, ? ANTHE OMR Application Form is a computerized form which is to be processed by Students Preferred Stream
OMR Scanning machine, so fill it very carefully as per the instructions given below. Paste latest stamp
The Managing Director M Medical size Coloured
? Write in English Capitals and English Numerals in the Rectangular Boxes and
Aakash Educational Services Pvt. Ltd. darken the corresponding bubble completely as shown in the correct method below.
Photograph

New Delhi ? Use Blue/Black ball point pen to darken the circles and all other entries. E Engineering
? Do not staple, Pin, Wrinkle, Scrabble, Tear, Wet or damage the form in any way. DO NOT STAPLE
CORRECT METHOD WRONG METHOD For Class VIII/IX Studying
IX & X X
Candidate Name (Write in CAPITAL letters in the boxes below and fill/darken the corresponding alphabet (Class in which Coaching
ovals given under boxes. Leave ONE box gap between First Name, Middle name and Surname) is required)
ANTHE Gender Marks Obtained in
Centre Code Class VII/VIII/IX(%)
Male
Female
A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 0 0 0 Category
B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B 1 1 1 General (In Science)
C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C 2 2 2 OBC
D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D 3 3 3 SC
E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E 4 4 4 ST
(In Maths)
F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F 5 5 5 PH
G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G 6 6 6
7 7 7 School Board
H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H
CBSE ICSE ISC State
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 8 8 8 Board
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J 9 9 9
K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K
Date of Birth(as per School Record)
L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L
M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M Day Month Year
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O
P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P 0 0 0 0 0 0 0 0
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q 1 1 1 1 1 1 1 1
R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R 2 2 2 2 2 2 2
S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S 3 3 3 3 3 3 3
T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 4 4 4 4 4 4
U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U 5 5 5 5 5 5
V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V 6 6 6 6 6 6
W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W 7 7 7 7 7 7
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 8 8 8 8 8 8
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 9 9 9 9 9 9
Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z

Fathers Name (Write in CAPITAL letters in the boxes below and fill/darken the corresponding alphabet ovals
given under boxes. Leave ONE box gap between First Name, Middle name and Surname) Mobile Number (Parents)

A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 0 0 0 0 0 0 0 0 0 0
B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B 1 1 1 1 1 1 1 1 1 1
C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C 2 2 2 2 2 2 2 2 2 2
D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D 3 3 3 3 3 3 3 3 3 3
E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E 4 4 4 4 4 4 4 4 4 4
F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F 5 5 5 5 5 5 5 5 5 5
G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G 6 6 6 6 6 6 6 6 6 6
H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H 7 7 7 7 7 7 7 7 7 7
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 8 8 8 8 8 8 8 8 8 8
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J 9 9 9 9 9 9 9 9 9 9
K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K
L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L
M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M Mobile Number (Student)
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O
P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P 0 0 0 0 0 0 0 0 0 0
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q 1 1 1 1 1 1 1 1 1 1
R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R 2 2 2 2 2 2 2 2 2 2
S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S 3 3 3 3 3 3 3 3 3 3
T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 4 4 4 4 4 4 4 4 4 4
U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U 5 5 5 5 5 5 5 5 5 5
V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V 6 6 6 6 6 6 6 6 6 6
W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W 7 7 7 7 7 7 7 7 7 7
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 8 8 8 8 8 8 8 8 8 8
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 9 9 9 9 9 9 9 9 9 9
Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z

MOTHERS NAME:

ADDRESS:

TOWN/CITY:
STATE: PIN: E-mail(Parents/Student)
DECLARATION
Place:................................. This is to certify that the information provided in the Registration Form
Date:................................... is correct to the best of my knowledge. (Signature of Parents/Guardian) (Signature of Student)

Terms & Conditions
1. Incomplete form will be rejected. It is compulsory to attach all the required
documents along with duly filled Registration Form.
2. It is compulsory to provide Mobile No. & E-mail ID of the student / parent /
guardian. The result of tests or any other information by the Institute will be
sent to the student via SMS and / or E-mail. Institute shall not be
responsible if any information regarding result or anything else is not
received by the student if he/she has not given his/her or
parents/Guardians updated & correct Mobile No. / E-mail ID in ANTHE
form at the time of registration.
3. During the Classroom Program at Aakash, a student must meet the
following requirements failing which his/her free-ship program will be
revoked with immediate effect. The decision of Managing Director, AESPL
shall be final and binding to the students and the parents.
(a) ATTENDANCE: The attendance of the student in the coaching class
should not drop below 75% throughout the classroom program. It is
compulsory for a student under this program to write all his/her class
test papers conducted by the institute in his/her batches.
(b) TEST MARKS: The students will be required to maintain a minimum
of 75% marks in their regular assessment tests** (For Medical
Aspirants & Class IX / X Students) and 65% marks in their regular
assessment tests** (For Engineering Aspirants).
(c) Any act of indiscipline by the student brought to the notice of the
administration of AESPL in the classroom centre, will not be
accepted. A warning will be issued to such students, offering them
another chance to improve their behaviour. Despite warning, if the
student does not alter his/her attitude and commits another act of
indiscipline further, his/her candidature for the free-ship program
will be revoked with immediate effect.
(d) In case a student misbehaves / gets involved in negative activities like
teasing, theft, indiscipline, use of abusive languages, he/she can be
rusticated by the Centre Head and no fee shall be refunded in such
cases.
(e) If a student keeps himself/herself absent from the classes without
prior permission from the Centre Head, then a warning letter will be
issued against him/her. Despite the warning letter, if the student
continues to default further and does not change his/her attitude,
then the free-ship program of such student will be revoked with
immediate effect.
** Please note that the average in all objective tests for all the subjects including improvement tests will be taken into account.
I, __________________________________________________________, agree with all the points mentioned above in the Terms & Conditions.
My ward and I will abide by these Terms & Conditions.
Parent's Name......................................................................
Parent's Signature
Correspondence Address:
Side - 2
(f) However, if a student continues to remain absent for more than two
weeks due to health issues or any other reason without prior
permission from the Centre In-charge, his/her candidature for the
free-ship program will be revoked.
4. *To be eligible for Cash Awards, it is mandatory for top 600 students (150
students for each class i.e. moving to Class IX / X and 150 each for Medical
& Engineering stream) to join our DLP Course before 31st December, 2017
irrespective of whether they join our Classroom course or not. Once the
DLP Enrollment is done, it will not be cancelled in any case. The students
will fill separate enrollment form for DLP. No fee will be charged for DLP
Course. It will be 100% Free.
5. ANTHE students can enroll in our regular weekdays / weekend batches.
6. If any student fails in his/her school exam, this ANTHE facility will be
withdrawn & the student will be disqualified from the program.
7. If at any centre, the strength of ANTHE students in a batch is 30 or more, a
dedicated batch of such students will be made. However, if the strength of
ANTHE students at a centre is less than 30, then they will be allotted the
best batch at the centre.
8. The cut-off score shall be decided by the management at the time of
declaration of Result.
9. In case, any dispute or difference arises between student / parents and the
Institute regarding the interpretation of these terms and conditions, non-
payment of any claim or any dispute arising out of or in pursuant to these
terms and conditions, the same shall be referred to sole arbitrator who
shall be appointed by the Managing Director of M/s Aakash Educational
Services Pvt. Ltd. The proceedings shall be conducted at Delhi under the
provisions of Arbitration & Conciliation Act and the Courts at Delhi only
shall have the jurisdiction over the matter and/or for enforcement as the
case may be. If an arbitrator to whom the matter is referred refuses to act or
for any reason, does not enter the reference or after entering into the
reference proceedings are abandoned or kept in abeyance or not
proceeded with, it shall be lawful for the Managing Director of M/s Aakash
Educational Services Pvt. Ltd. to appoint another person to act as an
arbitrator in the manner aforesaid. Such person shall be entitled to proceed
with reference from the stage at which proceeding was left by his
predecessor, if both the parties consent to this effect, failing which the new
arbitrator will be entitled to proceed de novo.
Student's Name............................................................................
Student's Signature