ADMISSION FORM

G6 LITTLE STARS ACADEMY

G6 Academy,
2nd Floor, 12B, Dhanalakshmi St,
Janaki Nagar, Alwartirunagar,
Valasaravakkam,
Chennai - 600087, India.

📞 1800-202-6656

✉ g6academy@geval6.com

STUDENT INFORMATION

Name of the Student *

Date of Birth (DOB) * (DD / MM / YYYY)

Gender *

Male Female

Grade *

Address *

Contact Number (WhatsApp) *

Email *

Referral Name

PASTE PAST
PASSPORT SIZE
PHOTO HERE

MODE OF TRAINING *

Online Offline

COURSE SELECTION

Please select the course you are interested in: *

G6 LITTLE STARS ACADEMY COURSES:
Cursive Handwriting English Communication Training

Parent / Guardian Name *

Contact Number (WhatsApp) *

Email *

Address *

EMERGENCY CONTACT

Emergency Contact Name *

Emergency Contact Number *

Relationship with Student *

CONSENT DECLARATION

Signature Date *