STUDENT VISITING FORM
( Dnyanganga Education Pvt. Ltd. )
Visit Time :-
Date :-
Name Of The Student :-
Gender :-
Male
Female
School/College Name :-
Address :-
Student Contact No :-
Parent Contact No :-
Standard :-
-- SELECT STANDARD --
10th Marathi Medium
10th Semi English Medium
10th English Medium
11th PCM
11th PCB
11th PCMB
12th PCM
12th PCB
12th PCMB
Demo. Given :-
-- SELECT --
Yes
No
Reason For Not Taking Admission :-
-- SELECT --
पैश्याची अडचण
विश्वास नाही
विद्यार्थी इच्छुक नाही
पालक इच्छुक नाहीत
उपक्रम समजला नाही
जागृकता नाही
उपक्रम न ऐकलेल्या व्यक्तीचा हस्तक्षेप
Other (Enter Reason Below)
Other (Reason) :-
Counselor Name :-
-- Select Counselor --
S.V.Arkas Sir
Amol Sir
Vaibhav Sir
Shaikh Sir
Ansar Mulla Sir
Longani Sir
Parag Patil Sir
Bhosale Sir
Salim Mulla Sir
Sachin Mulik Sir
Gauraj Dalavi Sir
Jaywant Patil Sir
ROHIT NAIKADE. Sir
Nilesh Suryvanshi
Sagar Patole Sir
SNEHAL CHAVAN
Branch :-
-- Select Branch --
Kopargaon
Shirur
Karad
Narayangaon
Shrigonda
Sangli
Rajgurunagar
Satara
Baramati
Saswad
Phaltan