Enquiry form

Kathak / Proficiency Course - KA003S

Name of the Applicant in Full(In Block Letters only)



Marital Status

Office Address

Name, Address and Occupation of parent or guardian and the annual income.

Institution or University last attended

Date of Addmission

Date of Leaving

Marks obtained in the last qualifying examination.

Whether the following certificates are available for perusal:

a) Transfer Certificate from the last institution attended.

(b) A certificate in support of employment, if employed.

Proficiency in games, sports and any other activities, if any.

Any other information the applicant wishes to furnish. Relevant documents and certificates are to be produced to substantiate special consideration.

Date of Birth


Residencial Address

Phone No

Details regarding training in dance (Classical, Folk, Contemporary or any other form)

Details regarding Dance festivals or dance competitions that the applicant has participated in and other achievements. (Attach separate sheets if necessary)

Highest public examination passed

(a) First appearance
(b) Subsequent appearances

A brief note on why the applicant wants to join this course. (Attach a separate sheet if necessary)

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I certify that the information furnished in the application is correct and true to the best of my knowledge and belief.