Page 1 of 3 Head Office: APTOINN, N.D.Building,No.3, 2nd floor , Rajagopal street, Kadapperi,Chennai – 45 (Landmark: G.R.T Jewellery) Ph: 9176301689, 9176562187 Affix your Photograph Apto-inn Student Application Form - 2015 Name : Date: D.O.B: E-Mail (Student): Father’s Name : School Name : Ph: Std: Occupation : Employee Business CBSE Name of the Company: STATE BOARD Other School Address: Business : Marks score in 10th std (%): Type of Business: Community : OC BC MBC BCM SCA SC ST Permanent Postal Address: City………………….Pin code…………………..State……………………………… Branch : Course : Phone Number (Resi) 1. 2. Phone Number (Student) You Came to know about APTOINN Coaching Centre through, (tick any of the following) Internet Architecture college Professors Any Architect B.Arch student Other Ads Friend (Name)……………………………………………. ----------------------------------------------------------------------------------------------------------------------------------------SCORE : NATA …………………12TH STD ……………………….B.Arch Cut-off…………………. NATA I.D College Joined……………………… (M/C) NATA APTOINN –NATA Architecture Aptitude Entrance coaching centre Ph: 091763 01689 / 098847 22837 /089392 09402 / 091765 62187 Website: www.aptoinn.in E-mail : aptoinninfo@gmail.com Page 2 of 3 1. CLASS ROOM COACHING: REGULAR COURSE One month Short term course with study materials & Mock test : Rs.12, 500 15 days crash course with study materials & Mock test : Rs.14, 000 45 days long term course with study materials & Mock test : Rs.16, 000 One week Rapid course with study materials & Mock test : Rs.8, 500 One year Week end Course with study materials & Mock test : Rs.28, 500 06 Months Week end Course with study materials & Mock test : Rs.23, 000 Select your Study Branch: Tambaram T.Nagar Anna Nagar Coimbatore Trichy Salem Adayar 2. CLASS ROOM COACHING: SPECIAL COURSE: Rs. 7,700 This is one Week Class room coaching + Study material + Mock test Bangalore Trivandrum Hyderabad Vellore Madurai Pondicherry 3.NATA COACHING THROUGH STUDY MATERIALS & E-CORRESPONDANCE 10 days Consolidated NATA EXAM Preparation Material : Rs.1,600 Short time (one month) Preparation - NATA study material : Rs.5,700 100 Days NATA - TARGET COURSE Preparation materials : Rs.6,800 06 months NATA - ORIENTATION COURSE Preparation materials. : Rs.8,600 01 year NATA - EXPERTISE COURSE Preparation materials : Rs.12,900 02 years NATA- MASTER Preparation materials (See www.aptoinn.in for detailed information about course contents) : Rs.18,900 4. PAID ONLINE MOCK TESTS PACK – A PACK – B PACK – C PACK – D PACK – E (See www.aptoinn.in for Pack details & Charges) -------------------------------------------------------------------------------------------------------------------- 5. J.E.E – B.Arch 2014 10 days crash course (class room coaching) : Rs.10,000 03 months Weekend course (class room coaching): Rs.15,000 Branch : …………………………. (Branch subject to availability) NATA APTOINN –NATA Architecture Aptitude Entrance coaching centre Ph: 091763 01689 / 098847 22837 /089392 09402 / 091765 62187 Website: www.aptoinn.in E-mail : aptoinninfo@gmail.com Page 3 of 3 Admissions started. Call to register your batches. PAYMENT DETAILS: If Cash Deposit/Net transfer: Cash deposit/Net transfer to be done in the student name/parent name/guardian name Account Name : Aptoinn Account Number: 6015732275 Bank: Indian Bank IFSC Code: IDIB000H017 Hastinapuram Branch, Chennai, India. After the fee payment ,Please send us bank deposit slip copy or Transaction number at aptoinninfo@gmail.com along with scanned copy of the filled registration form. D.D/CHEQUE CASH DEPOSIT Amount: (write left to right) Rs Amount: (write left to right) Rs In Words:…………………………………… In Words:…………………………………… ……………………………………………… ……………………………………………… D.D/Cheque Number…………………….. Cheque Date: DD/MM/YYYY Deposit Date: DD/MM/YYYY Bank name:……………………………….. Bank name:……………………………….. Branch:…………………………………… Branch:…………………………………… Net Transfer Details Mode of sending your application Student Name:…………………………… Account holder name………………………………. Courier/ Speed post/ registered Post / Any other…………………….. Bank name:………………………………. Date of sending the post …………………… Transaction Amount: (write left to right) Rs # Have you attached CASH Deposit slip with this form ………. Cheque Date:DD/MM/YYYY #Have you attached student photograph ……... Postal address: refer application-Page 1 top right Date of Joining: Student Name: Student’s Signature: NATA APTOINN –NATA Architecture Aptitude Entrance coaching centre Ph: 091763 01689 / 098847 22837 /089392 09402 / 091765 62187 Website: www.aptoinn.in E-mail : aptoinninfo@gmail.com