Enrollment Application

Course: Python & AI Basics

Personal Details

Student Full Name *

Date of Birth *

Gender *

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Female

Other

Student Mobile *

Blood Group (optional)

Residential Address (optional)

School Name

Cambridge School Bangalore

Gnana Bharthi public school Bangalore

Gurukul public school Bangalore

harvard public school Bangalore

Mother Teresa public school Bangalore

pragathi publick school Bangalore

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Student ID / Roll Number

Class / Grade

Section (optional)

Experience Level

Board (optional)

Medium (optional)

Parent / Guardian Name *

Parent Mobile *

Parent Email (optional)

Emergency Contact (optional)

Parent Occupation (optional)

Student Email Address *

Initial Password *

Securely encrypted in backend. Student can change it later.

Confirm Password *

I confirm all details are accurate and I agree to the terms of academic enrollment.