Last Update; 09/01/12/VM
Date : _________________ BRDS Registration Form for
Portfolio Preparation for Abroad Study
Personal Details Name: ________________________________________________________________________________ Date of Birth: ___________________________________________Age: ____________________________ Father's name: __________________________________________________________________________ Father's occupation: _____________________________________________________________________ Address :_________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________ Mobile no: ________________________________________Residence no: __ _______________________ E-mail ID: ______________________________________________________________________________ Your last qualification: ____________________________________________________________________ Name of School/college___________________________________________________________________ Specify past /present art activities (if attended any) or entrance exam coaching (if attended any) ___________________________________________________________________________________________________________
Centre Selection for Preparation
Ahmedabad Centre (Head Office)
New Delhi Centre
Mumbai Centre
Vadodara Centre
Bangalore Centre
Chennai Centre
Hyderabad Centre
Kolkata Centre
I came to know about Bhanwar Rathore Design Studio (BRDS) from Name of the Newspaper ________________________________Name of the Magazine_____________________________________ Search Engine or Website________________________________Facebook ______________________________________________ Name of the Friend______________________________________Banner or Hoarding or Poster ______________________________ Other sources (Specify the details) _______________________________________________________________________________
Office Use
Form No.
Entrance Exam Year Group City Code Roll No.
Date _________________Payment Mode: ______________________________________ Receipt No ____________________ Date _________________Payment Mode: ______________________________________ Receipt No ____________________ Date _________________Payment Mode: ______________________________________ Receipt No ____________________
Photo
NID Studio Test / Interview & Portfolio IIT CEED Written Test / Interview & Portfolio
NIFT Situation Test / NIFT Group Discussion & Interview
UG/PG: Studio Test / Situation Test / Portfolio Preparation Group G:
NID Studio Test / Interview and Portfolio Preparation
Date of Payment: ________________ Amount: _____________________ Cash / Cheque / DD deposit in ICICI Bank OR Bank of India OR HDFC Bank OR Kotak Bank
Cash Deposit Details of Cash Deposit: ________________________________________________________________________________________________
Cheque Deposit Details of Cheque: Bank Name / Cheque No._________________________________________________________________________________
DD Deposit Details of DD: Bank Name / DD No. ________________________________________________________________________________________
Online Payment: CC Avenue (Credit Card / Debit Card / Net Banking) Details of Online Payment: Order No OR Reference No. OR Transaction ID No._____________________________________________________
NOTE: (The demand draft / Cheque should be in favour of' BHANWAR RATHORE DESIGN STUDIO' payable at Ahmedabad. Please mention your
name and mobile number on the backside of your demand draft.)
Declaration and Undertaking I hereby declare that the above details are true to the best of my knowledge and belief and that I have read the prospectus thoroughly and agree to abide by the rules and regulations therein.
1. The particulars given above by me are true. 2. The lessons sent to me in this correspondence course shall be for my individual use only and that I shall not
duplicate or copy them in any form nor use for any commercial purpose. 3. Every year the names of selected students are published in Design and Education book, in newspaper articles
and uploaded on our website. I have no objection regarding the publish of my photograph in DE book, newspaper articles and other print medias.
4. Fees once paid is non-refundable. 5. I shall abide by all the rules of BRDS and will attend all classes as per the schedule. 6. Subject to Ahmedabad Jurisdiction.
Place: ___________________________________________________________________________________________
Date: ____________________________________ _______________________________________________________
Name of the student________________________________Signature of the student_____________________________ Parent’s/ Guardian Name______________________________Parent’s signature________________________________
For Second round of Tests (April, 2013)
FREE Study Material
FREE Workshop
Details of mode of payment
Home Coaching DVD Pack(Includes Free Study Material + 2 Days Workshop at Ahmedabad)
10 Days Workshop (Includes Home Coaching DVD Pack Pack + Free Study Material + 2 Days Workshop at Ahmedabad)