Registration Form You are requested to go through our Refund Policy Statement, and Terms and Conditions before filling the below form. Registration Form(Please Fill in this form after you have made the payment) Name Email Full Address with PINCODE Contact Number Birthday Mother tongue Your Current Profile Select School Student College Student Employed ( 1 - 3 Years Experience ) Employed ( 4+ Years Experience ) Self Employed ( 1 - 5 Years Experience ) Self Employed ( 5+ Years Experience Home Maker Unemployed Others Qualification Status Select High School Higher Secondary Under Graduate (Pursuing) Graduate / Diploma Post Graduate Research / Ph.D Others Registered Course English for Beginners Step 1 Pre - Intermediate Course Step 2 Communication Mastery Course Business Communication Course One-to-One Classes Step 2 Communicative Mastery Crash Courses Business Communication Mini Courses Classroom Training Other Courses Amount Paid Mode of Payment Payment wallets NEFT/IMPS PayU/Razor Pay Cash Point of Sale Bank Deposit Cheque Paypal Other Batch Schedule Weekdays Weekends Flexible (One-to-One) Allotted Batch Date Allotted Batch Timing (IST) Select 8 A.M to 9:30 A.M (Weekday) 10:30 A.M to 12:00 P.M (Weekday) 7:30 P.M to 9 P.M (Weekday) 9:05 P.M to 10:35 P.M (Weekday) 9:30 A.M to 12:00 PM (Weekend) 5:00 P.M to 7:30 PM (Weekend) 7:35 P.M to 10:05 PM (Weekend) Sat 7 to 9:30 PM & Sun 10:30 A.M to 1 P.M 10 AM to 12:30 PM (Weekday - Classroom) 7 to 9 PM (Weekday - Classroom) Others* (Mention in the Remarks) How did you come to know about Aksent? Select Google Maps & Reviews I found you on Google Ads Just Dial / Sulekha Facebook / Instagram Reference (Please mention the referrer name in Remarks) Was a student of Aksent Saw your Banner Ad on the internet Other Remarks Course Counsellor Name Why did you choose Aksent? (Choose only THREE best option) Course Curriculum Approach of the Counsellor Training Experience Trainers' Profile Flexible Batch Timing Reviews and Feedback Our Advertisements I agree to the Refund Policy and T & C. I have gone through the same Accept by checking the box Submit the Form
