BRDS Studio test form 20120126 - Bhanwar Rathore Design ... Chennai Centre Hyderabad Centre ... IIT...

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Transcript of BRDS Studio test form 20120126 - Bhanwar Rathore Design ... Chennai Centre Hyderabad Centre ... IIT...

  • Last Update; 09/01/12/VM

    Date : _________________ BRDS Registration Form for

    Portfolio Preparation for Abroad Study

    Personal Details Name: ________________________________________________________________________________ Date of Birth: ___________________________________________Age: ____________________________ Father's name: __________________________________________________________________________ Father's occupation: _____________________________________________________________________ Address :_________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Mobile no: ________________________________________Residence no: __ _______________________ E-mail ID: ______________________________________________________________________________ Your last qualification: ____________________________________________________________________ Name of School/college___________________________________________________________________ Specify past /present art activities (if attended any) or entrance exam coaching (if attended any) ___________________________________________________________________________________________________________

    Centre Selection for Preparation

     Ahmedabad Centre (Head Office)  New Delhi Centre  Mumbai Centre  Vadodara Centre

     Bangalore Centre  Chennai Centre  Hyderabad Centre  Kolkata Centre

    I came to know about Bhanwar Rathore Design Studio (BRDS) from Name of the Newspaper ________________________________Name of the Magazine_____________________________________ Search Engine or Website________________________________Facebook ______________________________________________ Name of the Friend______________________________________Banner or Hoarding or Poster ______________________________ Other sources (Specify the details) _______________________________________________________________________________

    Office Use

    Form No.

    Entrance Exam Year Group City Code Roll No.

    Date _________________Payment Mode: ______________________________________ Receipt No ____________________ Date _________________Payment Mode: ______________________________________ Receipt No ____________________ Date _________________Payment Mode: ______________________________________ Receipt No ____________________


    NID Studio Test / Interview & Portfolio IIT CEED Written Test / Interview & Portfolio

    NIFT Situation Test / NIFT Group Discussion & Interview

  • UG/PG: Studio Test / Situation Test / Portfolio Preparation Group G:

    NID Studio Test / Interview and Portfolio Preparation

       

    Date of Payment: ________________ Amount: _____________________ Cash / Cheque / DD deposit in ICICI Bank OR Bank of India OR HDFC Bank OR Kotak Bank

     Cash Deposit Details of Cash Deposit: ________________________________________________________________________________________________

     Cheque Deposit Details of Cheque: Bank Name / Cheque No._________________________________________________________________________________

     DD Deposit Details of DD: Bank Name / DD No. ________________________________________________________________________________________

     Online Payment: CC Avenue (Credit Card / Debit Card / Net Banking) Details of Online Payment: Order No OR Reference No. OR Transaction ID No._____________________________________________________

    NOTE: (The demand draft / Cheque should be in favour of' BHANWAR RATHORE DESIGN STUDIO' payable at Ahmedabad. Please mention your

    name and mobile number on the backside of your demand draft.)

    Declaration and Undertaking I hereby declare that the above details are true to the best of my knowledge and belief and that I have read the prospectus thoroughly and agree to abide by the rules and regulations therein.

    1. The particulars given above by me are true. 2. The lessons sent to me in this correspondence course shall be for my individual use only and that I shall not

    duplicate or copy them in any form nor use for any commercial purpose. 3. Every year the names of selected students are published in Design and Education book, in newspaper articles

    and uploaded on our website. I have no objection regarding the publish of my photograph in DE book, newspaper articles and other print medias.

    4. Fees once paid is non-refundable. 5. I shall abide by all the rules of BRDS and will attend all classes as per the schedule. 6. Subject to Ahmedabad Jurisdiction.

    Place: ___________________________________________________________________________________________

    Date: ____________________________________ _______________________________________________________

    Name of the student________________________________Signature of the student_____________________________ Parent’s/ Guardian Name______________________________Parent’s signature________________________________

    For Second round of Tests (April, 2013)

    FREE Study Material

    FREE Workshop

    Details of mode of payment

    Home Coaching DVD Pack(Includes Free Study Material + 2 Days Workshop at Ahmedabad)

    10 Days Workshop (Includes Home Coaching DVD Pack Pack + Free Study Material + 2 Days Workshop at Ahmedabad)

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