Kathak Kendra

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Course Registration

Course Name

First Name

Last Name

Gender

Female

Male

Add Photo

Date of Birth

Age

Place of Birth

Annual Income

Nationality

Religion

Mother Tongue

Is SC/ST

physically and mentally fit

Is Alumini of Kathak

Alumini From Date

Alumini To Date

Are you foreinger

Passport Number

Passport Validity

Visa Number

Visa Validity

Martial Status

Single

Married

Divorced

Widow

Address for Communication

Present Address

Mobile Number

Father's/Husband's/Guardian's Name

Relation

Name

Mobile Number

Occupation

Annual Income

Address Office

Mother's Details

Name

Mobile Number

Occupation

Address Office

Payment

Please Note

a) Registration fee is non-refundable in any circumstances.

b) Please use Generated Registration- ID for admission process.

c) Carry your original ID proof, certificate and mark sheet (as per the eligibility criteria) for verification.

I Agree the terms & Condition of the registration

Academic Qualification

S.No	Name Of Exam Passed	University	Passout Year	Stream Specialized	Max Mark	Marks	Div/%
1
2
3

Details of the previous Technical Dance/Music Training

S.No	Name Of Guru	Institute
1
2
3
4

Details of the Technical Examiniations/Qualifictions in Dance/Music Training

S.No	Exam/Board	Year	Result
1
2
3

Any other Relevant Training or Experience

S.No	Trainig Name	Details
1
2
3

Following Sections to be filled by Advanced Course Students Only

Height

Weight

Candidates applying for Diploma(Hons) course may choose one of the following subjects in addition to Vocal Music and yoga

Tabla

Pakhawaj

Candidates applying for Post Diploma course may choose one of the following subjects in addition to yoga

Table

Pakhawaj

Vocal Music

Please State whether in receipt of any scholarship for Dance training

Yes

Amount

Duration

Source

State Reason for studying the said course

Upload Documents (Only jpeg,bmp, png files allowed)

Date of birth Proof

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Caste Certificate

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Aadhar Card

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Fitness Certificate

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Visa

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Passport Front

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Passport Back

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