Registration

New Student Registration

Full Name (Enter as [First Name] [Middle Name] [Last Name]) * Enter Full Name

Gender * Select Gender

Date Of Birth * Enter DOB

Email Address * Enter Email

Phone Number

Alternate Phone Number

Permanent Address * Enter Address Click here,Current Address is Same as Permanent Address
Current Address * Enter Address

Father Name[Full Name] * Enter Father Name

Father Phone Number

Father Occupation * Enter Occupation

Family Annual Income * Enter Annual Income

COMMON REGISTRATION

Currnet graduation * Select Current Graduation

Institution/College Name (Currently studying in) * Enter InstitutionName Institution/College Address * Enter Address

City * Enter City

State * Enter State

Pincode * Enter Pincode

Subject/Specialization * Enter Subject

ACADEMIC PERFORMANCE

Higher Secondary School
Institution/College Name * Enter Institution Name Address * Enter Address

City * Enter City

State * Enter State

Grade(in % Only, only numbers, If not applicable enter 0.0) * Enter Grade

Bachelor’s Degree Performance
Institution/College Name Address

City

State

Bachelor’s Grade (in % Only, only numbers, If not applicable enter 0.0)

F.Y

S.Y

T.Y

Note :
1) Student should send this form and the relevant documents requested by email (weikfield@weikfield.com) or post to the office address mentioned in below.
WeiKFiELD Products Corporation LLP
3A, 3rd Floor, Vascon Weikfield Chambers,
Weikfield IT Citi Infopark, Shri. Satpal Malhotra Marg,Nagar Road, Pune 411-014
Maharashtra, India
Tel: +91-20-66478300
2) Student can download the form after login.
3) If in case of any technical issues, please take screenshot & email it to "weikfield@weikfield.com".

New Student Registration

COMMON REGISTRATION

ACADEMIC PERFORMANCE

LEARN MORE ABOUT WEIKFIELD

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