Online Form
Questions marked by * are required. Payment options: (1) Deposit fee in Punjab National Bank in your city in our account AMIE STUDY CIRCLE having number 0407002100045379. This is current account. (2)Transfer money through internet (NEFT). IFSC code will be needed. IFSC Code is PUNB0040700. This is current account. (3) Transfer fee through ATM. Mention transaction number in following form. (4) Send multicity cheque/demand draft and state its number in following online form. Send this cheque/DD by speed post to us stating your name and mobile number on its back.
Form For *
  • Coaching material for Section A
  • Coaching material for Section B
  • Admission Package for Diploma holders
  • Admission Package for 10+2/others
  • Section B registration package
  • AMIE after B.Tech in different branch
Payment Option (Instalment facility is for admission packages only)
  • Full Payment
  • First instalment
  • Second instalment
Date: *
Amount(Rs.) *
Bank/Branch/City: *
Transaction/Cheque Number:
Account Holder Name:
Name of Student: *
Address at which course is needed *
State: *
PINCODE: *
Email (preferable gmail): *
Mobile: *
Course Language: *
  • English
  • Hindi
Subject 1:
Subject 2:
Subject 3:
Subject 4:
Terms and Conditions

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