BHARATH ACADEMY
Loyala Collage Oppt, Vettavalam, T V Malai - 606754
                               Student Admission Form
Name                     :      _______________________________________________________
Fathers Name             :      _________ ______________________________________________
DOB                      :      _______________________ Blood Gp : _____________________
Height                   :      ________Cms, Weight : _________Kg, Chest ______________cm
Religion                 :      _______________________ Community: _____________________
Admission for            :      TNPSC, Army, Police Constable, SI, CRPF, BSF, IBP, CISF, SSC
Medical Treatment History:      ____________________________________________________________
Education Qualification
         SSLC            :      __________________________ HSC : ______________________
         DIP             :      __________________________ UG : ______________________
           PG            :      __________________________ Other : ______________________
Sports details
         Type of Sports :       __________________________ Level : ______________________
         Position        :      __________________________ NCC : ______________________
Contact Number
         Personal        :      ______________ ____________ Parents: ____________________
         Whatsapp No     :      __________________________ email : _____________________
Address                  :      ________________________________________________________
                                ________________________________________________________
                                ________________________________________________________
 * The above details are correct and true.
                                             DECLARATION
        I ________________________________ (Name)                ________________________(Fathers
Name) am the candidate for physical training for Defence Sector (Army, Police etc…) rally
recruitment at own risk and own interest that I or my son/ward shall not be entitled to claim any
compensation or any injury during the training against the this Coaching Centre.
                                                                          Signature of Student
                                             Office use only
Date of Admission: _______________
                       BHARATH COACHING CENTRE
                       Car Street, Vettavalam, T V Malai – 606754, Cell : 9599628608
                                  Student Admission Form
Name                       :       _______________________________________________________
Fathers Name               :       _______________________________________________________
DOB                        :       _______________________ Blood Gp : _____________________
Religion                   :       _______________________ Community: _____________________
Admission for              :       ____________________________
Rally attended details     :       _______________________________________________________
Covid History If any       :       _______________________________________________________
Medical Treatment History:         ____________________________________________________________
Education Qualification (Marks)
        SSLC               :       __________________________ HSC : ______________________
        DIP                :       __________________________ UG : ______________________
           PG              :       __________________________ Typing: ______________________
Contact Number
        Personal           :       __________________________ Parents: _____________________
        Whatsup No         :       __________________________ email : _____________________
Address                    :       ________________________________________________________
                                   ________________________________________________________
                                   ________________________________________________________
 * The above details are correct and true.
Signature of parents                                                          Signature of Student
                                             Office use only
Date of Admission: _______________
BHARATH COACHING CENTRE
                 TIME TABLE
                           05.30 AM
   PHYSICAL PRACTICE
                              to
        FALL IN
                           08.00 AM
                           08.30 AM
      BREAKFAST               to
                           09.00 AM
                           11.30 AM
        CLASS                 to
                           01.30 PM
                           01.30 PM
        LUNCH                 to
                           02.00 PM
                           04.00 PM
   PHYSICAL PRACTICE
                              to
        FALL IN
                           06.00 PM
                           07.30 PM
        DINNER                to
                           08.00 PM
                           08.30 PM
      SRUDY HRS
                          TO 9.30 PM
       LIGHT OFF              9.40 PM