Admission Form | Banyan Tree Learning Center

Student's Full Name: (First Name - Middle Name - Surname)

Date of Birth:

Please attach a latest photograph of the student:

School's Name:

Board of Education:

CBSE

ICSE

IGCSE

State

Since which grade is the student studying in the above mentioned school?

Please attach marksheets of the previous term/year examination held by school:

Details of previous school (Only if applicable)

Father's Name

Father's Occupation

Father's Email

Father's Contact Number

Mother's Name

Mother's Occupation

Mother's Email

Mother's Contact Number

Student's Email:

Student's personal contact number: (only if applicable)

Other emergency contact details: (Name & Number)

Which of the above mentioned numbers are available on WhatsApp?

Father's Number

Mother's Number

Student's Number

Emergency Contact

Full Residential Address:

Does the student have any learning disability?

Is the student suffering from any illness or is under treatment of any kind? (If yes, share the details)

Mother Tongue:

Other Languages Spoken:

Select the subjects which the student will opt at The Banyan Tree Learning Center:

Mathematics

Science (Physics, Chemistry & Biology)

Social Science

English

Please mention the list of other academic/non-academic classes which student attends regularly outside school hours (Apart from The Banyan Tree Learning Center):

Does the student possess his own gadget?

Yes

No

Does the parent/s have control over student's gadget usage and internet access?

Yes

No

Somewhat

All the information provided in this admission form is true to the best of my knowledge as the parent/guardian filling out this form.

I / We herby confirm

Our Terms & Conditions: https://thebanyantree.online/terms-conditions/ Our Refund Policies: https://thebanyantree.online/refund-cancellation/

I/We have read the above mentioned Terms & Conditions as well as Refund Policies carefully and agree with the same