MAK Spoken English Tutorial’s

1.Name Of the Student------------------------------------------------------------------------ Class---------------------------

(In Block Letters with sur name)

2.Father’s Name/Husband Name-------------------------------------------------------Mother’s Name------------------------------------

3. Gender ---------------------Date of Birth--------------------------------------------- Mobile No----------------------------------------------

4. Permanent Address----------------------------------------------------------------------------------

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5. --------------------------------------------------------------------------------

Parent Education Occupation

Father

Mother

6.Identification Marks : -------------------------------------------------------------------------------------------------

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7. Qualification of the Student : ----------------------------------------------------------------------------------

8. Name and Address of the school/ college where the candidate is studying :

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9.Email Id :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

10.Reference of the peoples 1.------------------------------------------------------------------------------------------------------------------------------------------------

( With their address and qualification )2.----------------------------------------------------------------------------------------------------------------------------------

11.DECLARATION OF THE STUDENT AND PARENT

I Promise you that I/we obey your rules, terms conditions and regulations, in any case you can
take any firm of disciplinary action against me and I will be bound to that action taken by
you/management in all the matters concerning me and the institutions the decision of the
management will be full and final.

I also accept all the oral conditions instructed by the class teachers. If not management can
take any disciplinary action against me and I will bound to that action.

Sign of the Student : --------------------------- Sign of the Parent/Guardian----------------------

Sign of the Authorized Incharged ----------------------------------

Fees Structure : ___________________ (Paid/ Unpaid)

Monthly : October : ------------------

November : --------------------

December : --------------------

January : --------------------

February : ---------------------