Eform
Eform
Registration Form
Note:
After you complete the Registration, you will receive an email with the link, user name and password for the Application form.
After logging-in, click the EDIT button at the top right corner to fill the Form. Clear the browser cache if there is any problem in viewing the Form.
Kindly use Internet Explorer(version 10 or above), Mozilla(version 48 or above) or Google Chrome(version 50 above) to fill in the Application form.
Kindly save each section's progress before moving on to the next section.
All fields are mandatory unless specified. False information provided at any time will render the admission null and void.
The application fee is non-refundable.
Please add
encore@greatlakes.edu.in
to your contact list to ensure that our mails do not go into your spam folder.
Register
*
Name of the Applicant:
(As per 10th Std Certificate)
Applicant's First Name
Applicant's Middle Name
Applicant's Last Name
Applied for:
*
---Select---
Communication Address
Address Line 1:
*
Country Name:
*
---Select---
State Name:
*
---Select---
City:
*
---Select---
Pincode:
*
Preferred documentation delivery:
*
---Select---
Date Of Birth:
*
Email Id:
*
Alternative Email Address:
*
Mobile Number:
*
Note: Do not add 0 (Zero) before mobile number
Other Contact Number:
Note: Do not add 0 (Zero) before mobile number
Payment Mode
Online Credit Card/Debit Card
Credit Card Type:
*
Indian Credit Card/Debit Card
International Credit Card/Debit Card
NetBanking
TO PROCEED WITH PAYMENT PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT GATEWAY
*
NAME
*
AMOUNT (RS)
I Agree
Submit
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