UPAY Academy · Enhanced Registration

📘 Student Information

Student Full Name *

Student Email ID *

Date of Birth *

Gender *

Current Class *

Board *

School Name *

Coaching Institute (Last Academic Session)

Academic Performance (Last Year % / GPA / Remarks)

👪 Parent / Guardian Information

Father's Full Name *

Mother's Full Name *

Primary Contact Name *

Alternate Contact Name

WhatsApp Number *

Alternate Phone Number

Residential Address *

Father's Occupation

Mother's Occupation

🎯 Additional Information

What are your Academic & Career Goals?

What are your Hobbies?

What are your Extracurricular Interests?

Why do you want to join UNPERTURB Advancement?

🏥 Medical Information

Does the student have any medical condition?

Does the student have any allergies?

Emergency Contact Name *

Emergency Contact Phone *

📋 Review & institute rules

Summary

Student: -

Email: -

Class/Board: -

Primary contact: -

WhatsApp: -

📜 Institute Rules & Regulations

General Conduct

Students must maintain discipline and respect towards teachers, staff, and fellow students.
The use of abusive language, violence, or misconduct will lead to disciplinary action.
Punctuality is mandatory. Latecomers may not be allowed to attend the class.

Academic Guidelines

Completion of assignments, projects, and homework is compulsory.
Any kind of cheating or malpractice during exams will result in strict action.

Disciplinary Actions

Any student found violating rules repeatedly may face suspension or expulsion.
The institute’s decision in disciplinary matters will be final and binding.

By submitting, you confirm that you and your parent/guardian have read and agree to abide by all rules.

I have read and accept the rules & regulations *

I'd like to receive updates via WhatsApp/email

Thank you, !

Your registration is complete. We'll contact you at within 24h.

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Student Registration