Unique Academy - The Institude for Competitive and Entrance Exam

Online Registration

APPLICATION FORM

Name in Full (BLOCK LETTERS)
Old Admission Number(if available)
Father's Name
Date Of Birth
Do you belong to SC/ST/OBC ? (Yes/No)
(If yes, please mention the category)
Address
Phone/Mobile No
Email ID
Educational Qualification
Details of Payment
Demand Draft/ Cheque No
Amount
Date
Bank Name
Subjects Offered
Admission No