Application form to learn Music from Mohit

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Name *

Phone number *

Email ID *

Age *

Gender *

Female

Male

Prefer not to say

My city *

My country *

Previous learning experience *

I've never learnt before, I'm a beginner.

I've learnt for 1-2 years.

I've learned for more than 2 years.

I am looking for *

Individual Classes only

Group Classes only

I am comfortable with both

My preferred medium for the class *

Online

Offline

Any medium

I want to learn music because

My financial situation to learn music *

I am financially independent or have support to afford usual fees structure.

I am financially weak & expecting a discount in fees.

My doubt is

I agree that all the above details given by me are true to my knowledge. *

Yes

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