Registration for Admission for Session 2017-18

Dear Guardians,

Registration for admissions can be made either online or offline.


Offline Registration
To download offline registration form, click "Download Registration Form". This filled up form along with the attachments has to be physically submitted to Dayawati Modi Academy, Modipuram, Meerut Office along with registration fee of Rs.900/-

Online Registration
You may submit registration form and pay registration fee online by filling up the following Online Registration Form. Online transaction charges (Max Rs.25) are additional & varies on the selected mode for payment. Please read the declaration carefully before proceeding for online registration.

-Admin

Student's Details


Admission Sought for class*

Date of Birth

Date *

Month *

Year *



First Name *

Middle Name

Last Name

Gender *

Blood Group

Phone Number

Category

Religion

Father's Details


First Name *

Middle Name

Last Name

Father's Email *

Highest Qualification

Occupation *

Income Per Year *

Father's Mobile *

Company Name

Company Designation

Mother's Details


First Name *

Middle Name

Last Name

Mother's Email

Highest Qualification

Occupation *

Income Per Year

Mother's Mobile

Company Name

Company Designation

Present Address


Address *

Landmark

City

State

Pin Number

Permanent Address


Address

Landmark

City

State

Pin Number