🎓 Divine Academy Admission Inquiry Form

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🎓 Divine Academy Admission Inquiry Form - 2025 🎓

Welcome to Divine Academy of Science! 🚀
We’re excited to guide you toward academic excellence and success in your board exams and competitive exams like NEET & JEE.
Please fill out this form carefully for admission inquiries at our centers in Vadodara, Ahmedabad, Rajkot, Surat, and other cities. 🏫

💡 Note:

Hostel inquiries are also accepted.
A ₹5000 advance payment is required to confirm your admission inquiry.
- If admission is unavailable due to high demand, the advance will be fully refunded. 💰
Filling out this form ensures priority for your admission inquiry.

Full Name *

📌 Enter your full name as it appears in your school records.

Parent/Guardian Name *

📌 Enter the full name of your parent or guardian for communication purposes.

Email Address 📧 *

📌 Enter your active email address for confirmation and details.

Mobile Number 📧 *

City of Interest 🏙️ *

📌 Select the city where you want to join Divine Academy

Vadodara

Ahmedabad

Rajkot

Surat

Palanpur

Lunawada

Other (Please Specify)

Select Mode Of Admission

Online ( Distance Learning )

Offline ( Physical Center )

Clear selection

Preferred Academic Standard 🎓 *

📌 Choose the class you want to enroll in

Std 6

Std 7

Std 8

Std 9

Std 10

Std 11 Science (NEET/JEE Focus)

Std 12 Science (NEET/JEE Focus)

Std 11 Commerce

Std 12 Commerce

Required

Medium of Study 🌐 *

📌 Choose your medium of study

GSEB English Medium

GSEB Gujarati Medium

CBSE English Medium

ICSE English Medium

Do You Require Hostel Accommodation? 🏠 *

📌 Select if you need hostel facilities during your studies

Yes

Additional Information or Questions 💬 *

📌 If you have any specific questions or information to share, please write here.

Confirmation of ₹5000 Advance Payment 💳 *

📌 By submitting this form, you confirm your willingness to pay ₹5000 as an advance for admission. If admission is unavailable, the amount will be refunded.

Yes, I confirm

Submit

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