ONLINE REGISTRATION FORM
Course :    [/Engg/Class/] Brilliants Intensive Classroom Course (AIEEE 2008) Kochi
Price    :    8089/- (without relevant scholarships if any)
Kindly Note: All Fee mentioned here is for Students enroling from India. For students enroling from outside India, can call us at +91-120-4666555 for details between 11:00 & 20:00 IST (monday to saturday)
Personal Information  
  Name of the Candidate    
  Father’s / Guardian’s Name    
Contact Information  
 

Correspondence Address
State
Pin
Ph. (Res.)(with STD code)
Mobile No.
Permanent Address
same as correspondence address
State
Pin
Ph. (Res.)
E-mail ID of the Student
Additional Information

Mode of Payment Demand Draft Online Bank Transfer Credit Card
 
Payment Plan
Full
 
Pricing Options
Full Fee
A fee concession of Rs. 1,000/- will be offered to students who have secured 85% or above in the Standard X Examination of the CBSE/ICSE or 90% or above in the Standard X Examination of the State Board as the average of marks obtained in Mathematics and Science.
 
I agree to the Terms and conditions.
 
** All the Terms and Conditions for this course are detailed in the course Prospectus.

Please note that all scholarship concessions will be confirmed only on receipt of the attested marksheet from the student and if the marks do not justify the concession, the differential payment will need to be made before the enrolment can be finalized. Also, only mark sheets that are duly attested will be considered as valid documents.