ADMISSION FORM

Champion Computer Classes

Main Market, Opposite Axis Bank, Haflong, Dima Hasao, Assam, 788819

+91 7018495365 | teamchampioncomputerclasses@gmail.com

Admissions Form 2025-2026

Upload Photo

ID Proof

Select ID Proof Type AADHAAR CARD VOTER ID PAN CARD DRIVING LICENSE PASSPORT SCHOOL ID OTHER

Please select ID proof type and upload document

Front Side

Upload Front Side

Back Side

Upload Back Side

Student Details

Admission ID

Admission Date & Time

Please select admission date and time

Student Name

Please enter student name

Parent's Name

Please enter father's name

Date of Birth

Please select date of birth

Gender

Select Gender MALE FEMALE OTHER

Please select gender

Email Address

Please enter a valid email address

Phone Number

Please enter a valid 10-digit phone number

Address CHAMPION COMPUTER CLASSES, MAIN MARKET, OPPOSITE AXIS BANK, HAFLONG, DIMA HASAO, ASSAM, 788819

Please enter your address

Course Details

Course

Select Course BASIC COMPUTER TYPING ADCA WEB DEVELOPMENT TALLY GRAPHIC DESIGNING ADVANCE EXCEL CORAL DRAW MICROSOFT OFFICE PHOTOSHOP DCA HTML, CSS & JAVA DIGITAL MARKETING & AI SCHOOL STUDENTS

Please select a course

Course Duration (Months)

Please enter valid duration (minimum 1 month)

Course Start Date

Course End Date

Payment Details

Admission Fee (INR)

₹

Please enter admission fee

Course Fee (INR)

₹

Please enter course fee

Total Payment (INR)

₹

Down Payment (INR)

₹

Payment Method

Select Payment Method UPI CASH BANK TRANSFER CHEQUE

Please select payment method

Payment Remarks

Transaction Number

Cash Receipt Number

Bank Name

Account Number

Cheque Number

Cheque Date

EMI Payment Details

Due Amount (INR)

₹

EMI Amount (INR)

₹

EMI amount must be less than due amount

Number of EMIs

EMI tenure cannot exceed course duration

Installment Details

Installment No	Date	Amount (INR)

Signatures

Student Signature

Click to upload signature

Parent/Guardian Signature

Click to upload signature

Terms & Conditions

By submitting this form, you agree to the following terms and conditions:

• All information provided must be accurate and complete. Any false information may result in the cancellation of admission.
• Admission & Course Fees paid are non-refundable under any circumstances, except as required by law.
• Admission is subject to availability and at the sole discretion of Champion Computer Classes (CCC).
• Students must abide by the rules and regulations of the CCC.
• CCC reserves the right to modify course content, schedule, or faculty without prior notice.
• A certificate will be issued only after the successful completion of the course and full payment of fees.
• Students must maintain a minimum of 75% attendance to be eligible for certification.
• Any damage to CCC institute property will be charged to the student responsible.
• CCC is not responsible for any personal belongings lost or damaged on the premises.
• Students must maintain discipline; CCC may terminate admission for misconduct.
• Fees once paid will not be adjusted against any other course or transferred to another student.
• Installment payments must be made by the 5th of each month. Late payments may attract a penalty.
• CCC may use student photographs/videos for promotional purposes unless specifically objected to in writing.
• Any legal disputes will be subject to the jurisdiction of the courts in Haflong.

I agree to the terms and conditions stated above

You must agree to the terms and conditions