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Admission Form

Please fill the form below to complete your registeration!

Course Details

Selected Program

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Select Product *

₹ {{preSelectedProduct.cost}}/-

Select Batch *

Packages/Individual Product Note : Make your own package selecting any products from the Product List.
SNO	Subject/Package	Type	Price	Buy
{{index+1}}	{{product.title}}	{{(product.type?product.type.valueAlias:'')}}	{{product.mrp}} /--	Select Added

Selected Product = {{this.selectedProduct.cost}} + Added Product = {{cartTotal}}

Student Details

{{admissionSetting.more.firstName.label}} *

{{admissionSetting.more.middleName.label}} *

{{admissionSetting.more.lastName.label}} *

{{admissionSetting.more.email.label}} *

{{admissionSetting.more.mobile.label}} *

{{admissionSetting.more.dob.label}} *

{{admissionSetting.more.gender.label}} *

{{admissionSetting.more.category.label}} *

Your fee has been discounted by 10%. Now your fee is {{(selectedProduct.cost-((10 / 100) * selectedProduct.cost))}}.
Please send your category certificate to mail id vijethaiasacademy@gmail.com.
Thank you.

{{admissionSetting.more.caste.label}} *

{{admissionSetting.more.religion.label}} *

{{admissionSetting.more.nationality.label}} *

{{admissionSetting.more.aadhaarNo.label}} *

{{admissionSetting.more.bloodGroup.label}} *

{{admissionSetting.more.motherTongue.label}} *

{{admissionSetting.more.languageKnown.label}} *

{{admissionSetting.more.urbanOrRural.label}} *

{{admissionSetting.more.distanceFromSchool.label}} *

Ex-Student Of Institute

Are you old Student of This Institute * : Yes No

{{admissionSetting.more.exStudent.fields.srn.label}} *

{{admissionSetting.more.exStudent.fields.session.label}} *

{{admissionSetting.more.exStudent.fields.program.label}} *

{{admissionSetting.more.exStudent.fields.idProof.label}} *

Address

Address *

Land Mark *

City *

State *

Postal Code *

Same as correspondence address

Address *

Land Mark *

City *

State *

Postal Code *

Father's Details

{{admissionSetting.more.father.fields.name.label}} *

{{admissionSetting.more.father.fields.age.label}} *

{{admissionSetting.more.father.fields.email.label}} *

{{admissionSetting.more.father.fields.mobile.label}} *

{{admissionSetting.more.father.fields.qualification.label}} * {{ errors.first('fatherQualification') }}

{{admissionSetting.more.father.fields.occupation.label}} * {{ errors.first('fatherOccupation') }}

{{admissionSetting.more.father.fields.designation.label}} * {{ errors.first('fatherDesignation') }}

{{admissionSetting.more.father.fields.photo.label}} *

{{admissionSetting.more.father.fields.nationality.label}} *

{{admissionSetting.more.father.fields.aadhaarNo.label}} *

{{admissionSetting.more.father.fields.annualIncome.label}} *

{{admissionSetting.more.father.fields.officeAddress.label}} *

Mother's Details

{{admissionSetting.more.mother.fields.name.label}} *

{{admissionSetting.more.mother.fields.age.label}} *

{{admissionSetting.more.mother.fields.email.label}} *

{{admissionSetting.more.mother.fields.mobile.label}} *

{{admissionSetting.more.mother.fields.qualification.label}} *

{{admissionSetting.more.mother.fields.occupation.label}} *

{{admissionSetting.more.mother.fields.designation.label}} *

{{admissionSetting.more.mother.fields.photo.label}} *

{{admissionSetting.more.mother.fields.nationality.label}} *

{{admissionSetting.more.mother.fields.aadhaarNo.label}} *

{{admissionSetting.more.mother.fields.annualIncome.label}} *

{{admissionSetting.more.mother.fields.officeAddress.label}} *

Sibling's Details

{{admissionSetting.more.siblings.fields.name.label}} *

{{admissionSetting.more.siblings.fields.age.label}} *

{{admissionSetting.more.siblings.fields.institute.label}} *

{{admissionSetting.more.siblings.fields.standard.label}} *

Remove

Medical History

Birth History

{{admissionSetting.more.medicalHistory.birthHistory.fields.birthDetail.label}} *

{{admissionSetting.more.medicalHistory.birthHistory.fields.birthCry.label}} *

{{admissionSetting.more.medicalHistory.birthHistory.fields.dischargeInDays.label}} *

{{admissionSetting.more.medicalHistory.birthHistory.fields.specialCare.label}} *

{{admissionSetting.more.medicalHistory.birthHistory.fields.ifNICU.label}} *

Hearing

{{admissionSetting.more.medicalHistory.hearing.fields.difficulty.label}} *

{{admissionSetting.more.medicalHistory.hearing.fields.consultation.label}} *

Vision History

{{admissionSetting.more.medicalHistory.vision.fields.useLenses.label}} *

{{admissionSetting.more.medicalHistory.vision.fields.consultation.label}} *

Mile Stones

{{admissionSetting.more.medicalHistory.motorMileStone.fields.sitting.label}} *

{{admissionSetting.more.medicalHistory.motorMileStone.fields.standing.label}} *

{{admissionSetting.more.medicalHistory.motorMileStone.fields.walking.label}} *

{{admissionSetting.more.medicalHistory.motorMileStone.fields.speech.label}} *

{{admissionSetting.more.medicalHistory.motorMileStone.fields.medicationForMedicalCondition.label}} *

{{admissionSetting.more.medicalHistory.motorMileStone.fields.medicationForWellBeing.label}} *

{{admissionSetting.more.medicalHistory.motorMileStone.fields.medicationForAlergy.label}} *

Miscellaneous

{{admissionSetting.more.miscellaneous.fields.howDidHearAboutInstitue.label}} *

Emergency Contact Details

{{admissionSetting.more.emergencyContact.fields.name.label}} *

{{admissionSetting.more.emergencyContact.fields.mobile.label}} *

{{admissionSetting.more.emergencyContact.fields.relationship.label}} *

Photos

{{admissionSetting.more.personalImg.label}} *

{{admissionSetting.more.signImg.label}} *

{{admissionSetting.more.idProof.label}} *

Instructions for filling online registration form

Click the Program tab and select the desired program
Enter all relevant details carefully.
Keep Ready a scanned color copy of Student's Photo in .jpg/jpeg format
candidates will have to upload a scanned copy of the Photo ID
* marked fields are mandatory
Fee once paid to the institution is non refundable and non transferable

Product Details

Details of product you selected for registration

Program/Product	Session	Total Amount
{{selectedProduct.title}}	{{selectedProduct.session.name}}	{{products[registerData.productIndex].cost}} /--
Discount (10%)		{{appliedDiscount.discountAmount}} /--
Total		{{orderData.total}} /--

Payment Method *

Payment Details

Choose payment option and method to get register

Payment Method *

Payable Amount * {{(paymentOptions[activePmtOptionIndex].amount)}} /-- {{(paymentOptions[activePmtOptionIndex].amount)}}/-

Successfully Registered!!

Scan the QR Code for submission of payment. Your user ID and password sent on your registered number.

For payment confirmation, please contact- 9650852636, 7678508541, 011-4247 3555

Deposit To Bank Account

Bank Name: ICICI Bank Ltd.

Account Name: Vijetha IAS Academy

Account Number: 036405500817

IFSC Code: ICIC0000364

Account Type: Current

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Contact Info

Shankar Road:- 7/50 - 2nd Floor, Near Roop Vatika, Shankar Road, Old Rajinder Nagar, New Delhi - 110060. & Old Rajendra Nagar Market : Building No. 55, 1st Floor, Opposite to Batra Medical, Old Rajinder Nagar, New Delhi110060
9650852636
7678508541
011-4247 3555
vijethaiasacademy@gmail.com