Session 2026-27

Admission Form

Please fill out the details accurately. This form serves as the official record for your enrollment.

Form Number

Date

1 Personal Information

Upload Photo

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Student Photograph

Upload a recent passport size photograph with a white background.

Max size 2MB. Formats: JPG, PNG.

Student Name *

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Date of Birth *

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Gender *

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Father's Name *

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Mother's Name *

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2 Academic Details

Target Course *

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Stream *

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Medium *

3 Contact Information

Phone Number *

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Email Address *

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Permanent Address *

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Declaration & Undertaking

I hereby declare that all the information provided in this application form is true and correct to the best of my knowledge.

I understand that my admission is subject to the rules and regulations of WINS Educare.

I agree to maintain discipline and attend classes regularly.

I acknowledge that fees once paid are non-refundable and non-transferable.

I consent to receive communication from the institute via SMS/Email/WhatsApp regarding academic updates.

I accept all terms and conditions stated above.

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Student Signature (Type Name) *

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Parent Signature (Type Name) *

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Application Submitted!

Thank you for choosing WINS Educare. Your application has been registered successfully.

Application Number

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WINS EDUCARE

Nizamuddinpur, Kako Road, Jehanabad - 804417

STUDENT ADMISSION FORM (2025-26)

Application No:

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Date:

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Student Name:

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Father's Name:

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Mother's Name:

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Date of Birth:

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Gender:

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PHOTO

ACADEMIC DETAILS

Course Applied For:

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Stream:

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Medium:

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CONTACT DETAILS

Phone Number:

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Email ID:

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Address:

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* I hereby declare that the information provided is true to the best of my knowledge and I agree to abide by the rules of WINS Educare.

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Student Signature

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Parent/Guardian Signature

Office Copy / Student Copy | Generated via WINS Online Portal on {{ submittedData.applicationDate }}