9117994392
bhuskymatrix@gmail.com
Tilta Waves, Ground Floor, Anand Nagar, Ranchi Ring Rd, Ratu, Ranchi, Jharkhand 835222
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Class XI-XVII
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Class XI-XVII
Class XI-XVII Enrollment Form
*Fill All Mandatory Fields.
Student's Name
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Qualification
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Select
Class-11
Class-12
ITI
Diploma
Graduation
Post-Graduation
School Name
*
College
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Father's Name
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Student's Contact Number
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Present Address
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Year of Passing
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Student's Email
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Submitted By
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Payment Status
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Paid
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Survey Reports
1. What number would you give yourself out of this ?
(a) Reading 1 2 3 4 5 6 7 8 9 10 =
(b) Writing 1 2 3 4 5 6 7 8 9 10 =
(c) Speaking 1 2 3 4 5 6 7 8 9 10 =
(d) Listening 1 2 3 4 5 6 7 8 9 10 =
(e) Memorise 1 2 3 4 5 6 7 8 9 10 =
(f) Visualise 1 2 3 4 5 6 7 8 9 10 =
(g) Concentration 1 2 3 4 5 6 7 8 9 10 =
(h) Source of Learning 1 2 3 4 5 6 7 8 9 10 =
(i) Motivation 1 2 3 4 5 6 7 8 9 10 =
2. Have you made a Time Table ?
Yes
No
3. How many hours a day do you do self studies ?
One Hour
Two Hours
Four Hours
Six Hours
4. Have you set your goal ?
Yes
No
5.Are you aware of your goal ?
Yes
No
6. Have you personally mentored someone ?
Yes
No
7. Have you ever done market survey about this business ?
Yes
No
8. What is your time pass ?
9. Who do you consider important in your life ?
Time
Money
10. Have you ever done business ?
Yes
No
11. Are you making good use of your time ?
Yes
No
12. How much money do you want to invest in this business ?
13. Have you ever worked in this business ?
Yes
No
14. If you are sent somewhere in the market for training related to this business, will you go ?
Yes
No
15. Would you like to consult with the Master Talent Program ?
Yes
No
Submit
