Enrolment Request
Member Type *
Select Member Type
First Time
Existing Member
Full Name *
Mobile Number *
Email ID
Address *
City *
Exam Preparing for *
Preferred Branch *
Select Branch
Dombivli East (MIDC)
Dombivli West
Preferred Plan *
Select Plan
Max Plan – Full Day
Light Plan – Morning Slot
Light Plan – Afternoon Slot
Light Plan – Evening Slot
Light flexi Plan - Morning + Afternoon Slot
Light flexi Plan - Morning + Evening Slot
Light flexi Plan - Afternoon + Evening Slot
Weekend - Only Saturday & Sunday
Mini Plan - Morning Slot
Mini Plan - Evening Slot
Single Day Plan - Full Day
Start Date *
No. of Days to Book *
End Date
Reg. Fees (₹)
Plan Cost (₹)
Total (₹)
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