Thank You, Your Application Form Submitted Successfully.1 0% https://gurcharanamacademy.in/wp-content/plugins/nex-formsfalsemessagehttps://gurcharanamacademy.in/wp-admin/admin-ajax.phphttps://gurcharanamacademy.in/online-fee-refund-application-formyes In case of incomplete form or wrong information, the form will automatically get canceled and after that refund application will not be accepted again under any circumstances.We request you to upload the photo clearly, in case of blurry or not clear, refund application form will not be accepted. *Student Name*Student Email* Student Phone Number*Date Of Birth*GenderMaleFemaleOther*CategoryGENSCSTOBCDSPD*Father Name*Mother Name* Guardian Phone Number*Select Class --- Select ---Class-6th (5th to 6th Moving)Class-7th (6th to 7th Moving)Class-8th (7th to 8th Moving)Class-9th (8th to 9th Moving)Class-10th (9th to 10th Moving)Class-11th (10th to 11th Moving)Class-12th (11th to 12th Moving)Class-12th Appearing/Passed *Select Course--- Select ---RICE CLASS-XI NEET(UG) 2023ZEAL CLASS-XII NEET(UG) 2022SPARK PRO (12th Passed ) NEET(UG) 2022SPARK PRO PLUS (12th Passed In 2020) NEET(UG) 2022ASPIRE CLASS-11 JEE-Main & Advanced | JEE-Main 2023IMPULSE CLASS-12 JEE-Main & Advanced | JEE-Main 2022CRACKERS (12th Passed/Appearing) JEE-Main & Advanced 2022NTSE (Pre-Foundation JEE/NEET)*Select Classes Mode--- Select ---OnlineOnline+Offline*Select Medium--- Select ---HindiEnglish*Select Study Center--- Select ---Bhubaneshwar (Sahid Nagar)BrahmapurDinanagarBijnoreHyderabadVadodaraSivasagarPuruliaBhubaneswar (Kalinga Nagar)DimapurDehradunGurugramChalisgaonRohini, DelhiPrayagrajVarengaonRanchiNoidaHosakoteGhaziabadHindupurHaridawrKota*Select State--- Select ---Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand – RanchiKarnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal *City*Pin CodeAddress*Total Fees Paid*Select Reason--- Select ---Personal ReasonsFinancial Problems Admission to any other institute*Upload Photo gif jpg jpeg png psd tif tiff *Upload Fees Receipt gif jpg jpeg png psd tif tiff *Upload Parents Aadhar (Front) gif jpg jpeg png psd tif tiff *Upload Parents Aadhar (Back) gif jpg jpeg png psd tif tiff *Upload Student Aadhar (Front) gif jpg jpeg png psd tif tiff *Upload Student Aadhar (Back) gif jpg jpeg png psd tif tiff *Upload Parents Bank Passbook Front Page Photo gif jpg jpeg png psd tif tiff *Upload Parents Cancel Cheque gif jpg jpeg png psd tif tiff *Upload Fees Receipt gif jpg jpeg png psd tif tiff By submitting this application you certify that you have agreed to and abide by the terms and conditions, Privacy Policy, Refund Rules of Gurucharanam Academy Private limited, Kota (Rajasthan). Only the student or his/her parent can collect the cheque for refund of the fee after fifteen days of submitting the application for refund. The refund cheque will not be given to friend/relative or any other person.Any legal matter/dispute related to fee refund is subject to Kota (Rajasthan) jurisdiction only.Submit