PIFE-Best Fire Safety College

Admission Form

Personal Details:

Student's Name:

Father's Name:

Mother's Name:

Date of Birth:

Marital Status:

Aadhar Number:

Email:

Physical Standards:

Height (without foot ware) in Centimeters:

Weight in Kg:

Chest Measurement:

Normal in CMS:

Expand in CMS:

Particulars relating to Sports & Athletics, NCC (Certificate obtained) etc:

Yes

Address:

Permanent Address:

District:

State:

Pin Code:

Mobile No. of Guardian:

Mobile No. of Student:

Occupation : Father's / Guardian's:

Yearly Income:

Academic Qualification:

Qualification	Name of College	Board/Institute/University	Passing Year	% of Marks	Subjects	Upload Document
High School
Intermediate
Graduate
Other

Applied for Course:

Student Photo

Student's Signature

Father's / Guardian's Signature

Payment:

Instruction Of Payment

Please note down our bank details and submit the form. Once transferred contact us back with the transaction receipt and submission form.

A/C Number: 156801000192
IFSC Code: ICIC0001568
Bank Name: ICIC Bank
Branch: ICICI Bank Sikandra, Agra

Attach Payment Receipt

I hereby declare that the information given by me in this form and the certificates herewith are true to the best of my knowledge and belief. If found incorrect the institution may cancel my admission.