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REGISTRATION FORM SIDE - 1

Aakash National Talent Hunt Exam (ANTHE)-2017


Form No.: .......................................
(Divisions of Aakash Educational Services Pvt. Ltd.) ANTHE Roll No.: ............................................. PS ID: .............................................
IMPORTANT INSTRUCTIONS For Class X Studying
To, ? ANTHE OMR Application Form is a computerized form which is to be processed by Students Preferred Stream
OMR Scanning machine, so fill it very carefully as per the instructions given below. Paste latest stamp
The Managing Director M Medical size Coloured
? Write in English Capitals and English Numerals in the Rectangular Boxes and
Aakash Educational Services Pvt. Ltd. darken the corresponding bubble completely as shown in the correct method below.
Photograph

New Delhi ? Use Blue/Black ball point pen to darken the circles and all other entries. E Engineering
? Do not staple, Pin, Wrinkle, Scrabble, Tear, Wet or damage the form in any way. DO NOT STAPLE
CORRECT METHOD WRONG METHOD For Class VIII/IX Studying
IX & X X
Candidate Name (Write in CAPITAL letters in the boxes below and fill/darken the corresponding alphabet (Class in which Coaching
ovals given under boxes. Leave ONE box gap between First Name, Middle name and Surname) is required)
ANTHE Gender Marks Obtained in
Centre Code Class VII/VIII/IX(%)
Male
Female
A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 0 0 0 Category
B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B 1 1 1 General (In Science)
C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C 2 2 2 OBC
D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D 3 3 3 SC
E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E 4 4 4 ST
(In Maths)
F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F 5 5 5 PH
G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G 6 6 6
7 7 7 School Board
H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H
CBSE ICSE ISC State
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 8 8 8 Board
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J 9 9 9
K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K
Date of Birth(as per School Record)
L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L
M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M Day Month Year
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O
P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P 0 0 0 0 0 0 0 0
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q 1 1 1 1 1 1 1 1
R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R 2 2 2 2 2 2 2
S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S 3 3 3 3 3 3 3
T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 4 4 4 4 4 4
U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U 5 5 5 5 5 5
V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V 6 6 6 6 6 6
W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W 7 7 7 7 7 7
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 8 8 8 8 8 8
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 9 9 9 9 9 9
Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z

Fathers Name (Write in CAPITAL letters in the boxes below and fill/darken the corresponding alphabet ovals
given under boxes. Leave ONE box gap between First Name, Middle name and Surname) Mobile Number (Parents)

A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 0 0 0 0 0 0 0 0 0 0
B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B 1 1 1 1 1 1 1 1 1 1
C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C 2 2 2 2 2 2 2 2 2 2
D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D 3 3 3 3 3 3 3 3 3 3
E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E 4 4 4 4 4 4 4 4 4 4
F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F 5 5 5 5 5 5 5 5 5 5
G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G 6 6 6 6 6 6 6 6 6 6
H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H 7 7 7 7 7 7 7 7 7 7
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 8 8 8 8 8 8 8 8 8 8
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J 9 9 9 9 9 9 9 9 9 9
K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K
L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L
M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M Mobile Number (Student)
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O
P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P 0 0 0 0 0 0 0 0 0 0
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q 1 1 1 1 1 1 1 1 1 1
R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R 2 2 2 2 2 2 2 2 2 2
S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S 3 3 3 3 3 3 3 3 3 3
T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 4 4 4 4 4 4 4 4 4 4
U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U 5 5 5 5 5 5 5 5 5 5
V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V 6 6 6 6 6 6 6 6 6 6
W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W 7 7 7 7 7 7 7 7 7 7
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 8 8 8 8 8 8 8 8 8 8
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 9 9 9 9 9 9 9 9 9 9
Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z

MOTHERS NAME:

ADDRESS:

TOWN/CITY:
STATE: PIN: E-mail(Parents/Student)
DECLARATION
Place:................................. This is to certify that the information provided in the Registration Form
Date:................................... is correct to the best of my knowledge. (Signature of Parents/Guardian) (Signature of Student)
Side - 2
Terms & Conditions

1. Incomplete form will be rejected. It is compulsory to attach all the required


documents along with duly filled Registration Form.
(f) However, if a student continues to remain absent for more than two
2. It is compulsory to provide Mobile No. & E-mail ID of the student / parent / weeks due to health issues or any other reason without prior
guardian. The result of tests or any other information by the Institute will be permission from the Centre In-charge, his/her candidature for the
sent to the student via SMS and / or E-mail. Institute shall not be free-ship program will be revoked.
responsible if any information regarding result or anything else is not
4. *To be eligible for Cash Awards, it is mandatory for top 600 students (150
received by the student if he/she has not given his/her or
students for each class i.e. moving to Class IX / X and 150 each for Medical
parents/Guardians updated & correct Mobile No. / E-mail ID in ANTHE
& Engineering stream) to join our DLP Course before 31st December, 2017
form at the time of registration.
irrespective of whether they join our Classroom course or not. Once the
3. During the Classroom Program at Aakash, a student must meet the DLP Enrollment is done, it will not be cancelled in any case. The students
following requirements failing which his/her free-ship program will be will fill separate enrollment form for DLP. No fee will be charged for DLP
revoked with immediate effect. The decision of Managing Director, AESPL Course. It will be 100% Free.
shall be final and binding to the students and the parents.
5. ANTHE students can enroll in our regular weekdays / weekend batches.
(a) ATTENDANCE: The attendance of the student in the coaching class
6. If any student fails in his/her school exam, this ANTHE facility will be
should not drop below 75% throughout the classroom program. It is
withdrawn & the student will be disqualified from the program.
compulsory for a student under this program to write all his/her class
test papers conducted by the institute in his/her batches. 7. If at any centre, the strength of ANTHE students in a batch is 30 or more, a
dedicated batch of such students will be made. However, if the strength of
(b) TEST MARKS: The students will be required to maintain a minimum
ANTHE students at a centre is less than 30, then they will be allotted the
of 75% marks in their regular assessment tests** (For Medical
best batch at the centre.
Aspirants & Class IX / X Students) and 65% marks in their regular
assessment tests** (For Engineering Aspirants). 8. The cut-off score shall be decided by the management at the time of
declaration of Result.
(c) Any act of indiscipline by the student brought to the notice of the
administration of AESPL in the classroom centre, will not be 9. In case, any dispute or difference arises between student / parents and the
accepted. A warning will be issued to such students, offering them Institute regarding the interpretation of these terms and conditions, non-
another chance to improve their behaviour. Despite warning, if the payment of any claim or any dispute arising out of or in pursuant to these
student does not alter his/her attitude and commits another act of terms and conditions, the same shall be referred to sole arbitrator who
indiscipline further, his/her candidature for the free-ship program shall be appointed by the Managing Director of M/s Aakash Educational
will be revoked with immediate effect. Services Pvt. Ltd. The proceedings shall be conducted at Delhi under the
provisions of Arbitration & Conciliation Act and the Courts at Delhi only
(d) In case a student misbehaves / gets involved in negative activities like
shall have the jurisdiction over the matter and/or for enforcement as the
teasing, theft, indiscipline, use of abusive languages, he/she can be
case may be. If an arbitrator to whom the matter is referred refuses to act or
rusticated by the Centre Head and no fee shall be refunded in such
for any reason, does not enter the reference or after entering into the
cases.
reference proceedings are abandoned or kept in abeyance or not
(e) If a student keeps himself/herself absent from the classes without proceeded with, it shall be lawful for the Managing Director of M/s Aakash
prior permission from the Centre Head, then a warning letter will be Educational Services Pvt. Ltd. to appoint another person to act as an
issued against him/her. Despite the warning letter, if the student arbitrator in the manner aforesaid. Such person shall be entitled to proceed
continues to default further and does not change his/her attitude, with reference from the stage at which proceeding was left by his
then the free-ship program of such student will be revoked with predecessor, if both the parties consent to this effect, failing which the new
immediate effect. arbitrator will be entitled to proceed de novo.

** Please note that the average in all objective tests for all the subjects including improvement tests will be taken into account.

I, __________________________________________________________, agree with all the points mentioned above in the Terms & Conditions.

My ward and I will abide by these Terms & Conditions.

Parent's Name...................................................................... Student's Name............................................................................

Parent's Signature Student's Signature

Correspondence Address: