enrollment form

MKA Photography course enrolment
Fill this form if you are ready to join the course at Munish Khanna Academy. fees for the basic course has been revised to 35000/- wef 14th dec 2012

Personal Information

Name

First

Last

Gender

Male

Female

Age

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Permanent Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email

Phone

Phone-in case of emergency

Upload recent passport photo

Optional- you may submit a physical print later.

Upload scanned copy of Photo ID.

Optional- You may submit a photocopy later.

Course Selection

Please select the workshops you would like to attend.

Select Course

Complete Rs.95,000

Advance Rs.85,000

Basic Rs.30,000

Foundation Rs.10,000

One to One

Workshop

Fee Amount

Mode of Payment

Cheque /online transfers in favour of "Munish Khanna" s a/c 002901022429 ICICI Bank w-57 Gk1, New Delhi-48. You may drop the cheque at any ICICI Bank drop boxes.

Checkbox

Weekdays only

Weekends only

All days / Any days

Time slot
first preference

Second preference

How did you get to know about the course.

I have gone through the website and am aware of the various aspects of the course. *

Yes, I am aware