.: Belghoria Shankhamala :.

Application for Admission :

Application Form :

Please fill in the detail, so that we can get in touch with you

Name of the Candidate (In Block Letters)	:
Father’s Name	:
Guardian Name	:
Permanent Address	:
Present Address	:
Date Of Birth	:
Mobile Phone Number	:
WhatsApp Number	:
Educational Qualification	:
Marital Status	:
Occupation	:
Details of Place of Work / Name of Organization	:
Do you have Experience in Recitation/Music/Drama/Art/ Any Other Art	:
If Yes, Provide Details of Experience	:
Email id	:
I hereby declare and confirm that the above stated information are true to the best of my knowledge and I shall abide by all rules and regulation of the Organization.
Only Online Classes	:	Yes No
		Type the above number:


Note : Please send one scanned copy of your Photo ID Please send one copy of your present address proof Please fill up the above form with all details along with signature, paste your recent coloured photograph and Email the scanned copy of the Form (PDF/JPG format) to shankhamalacreations@gmail.com. You can also take photograph of the Filled up application form and submit the same via WhatsApp to 9874404422 or 9674172457

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