Registration Form for Schools

       (The information provided by you is for our reference and shall be kept strictly confidential.)
    
Fields marked with * are mandatory.

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NAME OF THE SCHOOL*
ADDRESS* 

 

PHONE NUMBER(S)
E -MAIL Id*
YEAR OF ESTABLISHMENT
MEDIUM OF INSTRUCTION
SCHOOL LEVEL Primary Middle High All
AFFILIATION TO BOARD OF EXAMINATION

ICSE      CBSE   State 
Others
NUMBER OF TEACHERS ENROLLING FOR elt.emacmillan.com
(Maximum number of six teachers can be taken in)

NAMES OF TEACHERS ENROLLING FOR elt.emacmillan.com
(Please insert a comma after each name)
 


NUMBER OF PGTs TEACHING ENGLISH
NUMBER OF TGTs TEACHING ENGLISH
NUMBER OF UNTRAINED TEACHERS TEACHING ENGLISH
DOES YOUR SCHOOL HAVE A COMPUTER LAB?

Yes                         No 
SOFTWARE BEING USED

MS Word              Adobe
                                          Acrobat

Internet Explorer Netscape
                                             Navigator
DOES YOUR SCHOOL HAVE AN INTERNET CONNECTION? Yes                         No
TOTAL STUDENT STRENGTH
PRINCIPAL'S NAME
PHONE NUMBER                  OFFICE


                                               HOME


PREFERRED USER Id
(You can give two alternative Ids)

                           (or)

CHEQUE / DD AMOUNT

CHEQUE / DD NUMBER
NAME OF BANK
DATED
(yy/mm/dd)



 

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