Register for a course

Date of Registration

First Name

Middle Name

Last Name

Gender

Male

Female

Other

Date of Birth

Mobile Number

Address for correspondence

Address Line 1

Address Line 2

City

State

Zip Code

Country

Course/Service (Please select a course/Service)

Preferred Timing

Morning(Between 09:30 AM & 12:00 PM)

Afternoon(Between 12:00 AM & 04:00 PM)

Evening(Between 04:00 PM & 07:30 PM)

Slot - Weekday/Weekend

Please select if you prefer to register with Rs.2000/- or pay the entire course fee.

Mode of payment

Other modes of payment (Please mention the mode of payment and fill in the transaction ID)

*Please note that you will be charged 1.8% extra for card payments.

Bank transfer details

Note:

Transaction ID(Please enter the transaction ID for the payment)