Admission form

Sir/Madam,

I express my earnest desire to take admission to your esteem Institute in the of months duration. The course fee & applicable taxes, which is inclusive of Admission fee is Rs But as it is not being possible for me to pay the total course fee at the time of Admission, it is my fervent request to allow me to get admission on payment of instalments.
I understand and agree that in case of failure to pay the Instalments of Tuition fee within the stipulated period, my studentship will stand cancelled. All details as per Prospectus and Admission particulars have been agreed by me.