Home | Sitemap | Contact Us
 
 
Chief Instructor
 
BALARAM NAYAK
Vil./Po-Bairee, Ps.-Badachana,
Dt.-Jajpur, St.-Odisa, India.
Mob:9338904010
 
Our News Paper
 
 
ADMISSION FORM
BALARAM DEFENCE SCHOOL
Office: L.P.-219, Prasanti Vihar Housing Board Colony,
P.O.-KIIT, Bhubaneswar, Orissa.
www.balaramdefenceschool.com
Regd. No. 709/160/02
Form Download Here...

 

ADMISSION FORM

01. Name OF APPLICANT:

02. Father’s Name:

03. Present Address:

04. Permanent Address:
05. CONTACT NO. :

06. DATE OF BIRTH :                  07. HEIGHT :                  08. WEIGHT :

09. SEX:                  10. BLOOD GROUP :                  11. AILMENT IF ANY:

12. NATIONALITY:

13. RELIGION: 14. MARITAL STATUS:

15. LANGUAGE KNOWN:

16. DO YOU ANY POLICE RECORD:

17. BRANCH ADDRESS:

18. WHY DO YOU WISH TO LEARN?


05PROMISE FOR STUDENTS

I Mr./Mrs./Miss.................................................................................................. would like to apply for admission in this School. I promise to abide by the rules and regulations of the School and whatever rules formed there after. I also promise; not be imparting the knowledge of “SELF DEFENCE ARTS” to any one without the specific consultation of my instructor and I will be loyal to him.

Date:
Place: (FULL SIGNATURE OF APPLICANT)

UNDERTAKING FOR PARENTS/GUARDIAN
(IN CASE OF MINORS)

I have no objection to my son/daughter/wife joining in the School and will not hold this School responsible for any accident that may happen to him/her within the School due to this negligence.

Date:
Place: (FULL SIGNATURE OF PARENTS/GUARDIAN)

 

 
Home | About Us | Founder Member | Chief Instructor | Our Official | Admission Form | Kata | Photo Gallery | Contact Us
Powered By: Sangram Kumar Hati
Mob:09853842650