IELTS Coaching Enrolment Form

Personal & Contact Information

Full Name *

Gender *

Email Address *

Phone Number *

Date of Birth *

City/District *

Permanent Address *

Caste & Document Details

Category*

Caste *

Caste Certificate Number *

Upload Caste Certificate * [Max 2MB]

Upload Caste Validity Certificate (if applicable) * [Max 2MB]

Upload Non-Creamy Layer Certificate (OBC/VJNT/SBC) * [Max 2MB]

Are you applying under EWS? *

Upload EWS Certificate * [Max 2MB]

Upload Income Certificate (for EWS) (if applicable) [Max 2MB]

Educational Details

Highest Qualification *

Branch/Stream *

Your Qualification *

Passing Year *

Marks/CGPA *

Name of Last Attended Institute *

Upload Last Marksheet *

Upload Degree Certificate (if applicable)

Identity Proof

Aadhar Number *

Upload Aadhar Card * [Max 2MB]

Upload PAN Card (optional) [Max 2MB]

Study Abroad Goals

Why do you want to study abroad? *

Have you attempted IELTS before? *

Upload IELTS Scorecard [Max 2MB]

Parent / Guardian Details

Father’s Name *

Mother’s Name *

Parent Contact Number *

Occupation of Parent/Guardian *

Annual Family Income *

Batch & Course Preferences

Course Applied For *

Preferred Mode *

Preferred Batch Timing *

Upload Passport Size Photo *

Declaration & Consent

I confirm that the above information is true and correct.

I agree to receive communication via WhatsApp/email.

I agree to share the IELTS result and details with AEG Maharashtra.