ICC Animation College

🎓 Online Student Registration Form

Personal Info

Academics

Declaration

Part A Course / Programme Details

Course Applied For *

Session / Batch

Part B Personal Details & Photograph

Student's Full Name *

Email Address *

Phone No. *

📷 Upload Photo JPG/PNG · Max 200KB

Date of Birth *

Gender *

Male Female Other

Category *

Religion

State of Domicile

Nationality

Part C Parent / Guardian Information

👤 Father's Details

Father's Full Name *

Father's Phone

👩 Mother's Details

Mother's Full Name *

Mother's Phone

Part D Communication & Residential Address

Full Address *

City / District *

State *

PIN Code *

Part E Academic / Qualification Details

Examination	Board / University	Year	Stream / Subject	Marks Obt.	Max Marks	%	Marksheet
Class 10th
Class 12th
Graduation
Any Other / PG

💡 Percentage is calculated automatically when you enter marks.

Part F Declaration & Undertaking

1. I have carefully filled this form myself without being influenced by any person.

2. All particulars provided are true and correct to the best of my knowledge and belief.

3. My registration may be withdrawn if I fail to submit original Migration / TC within stipulated time.

4. Registration shall be in force only when tuition fee is realized in the institute\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'s account.

5. I have not and shall not indulge in any act of Ragging, Discrimination or harassment.

6. I shall keep the institute campus clean and free from all plastic and harmful elements.

I solemnly affirm and accept all the above declarations and agree to abide by all institute rules, regulations and fee policies.

Place of Submission

Date

Student registration

ICC Animation College

Location

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