No.

Center:

Date:

Name (in Block Letters)
Postal Address
Phone No.
Mobile No. & E-mail ID.
Permanant Address
Name & Address of the guardian and relationship to the student
Occupation of Father / Guardian
Age & Date of Birth(In figures & words)
Nationality			--SELECT-- IndianAmericanRussian BangladeshiCanadian
General and Professional qualification
Have you studied music or dance in any institution? if so give details
Have you participated any School/ university/district/state competitions. if so give details
Have you got any district/state level prize?if so give details
Course to which admission in sought

submit