The Cyan Melon School of Music - Independent Student Enrollment Form

Independent Student Enrollment Form

The Cyan Melon School of Music

This form is meant for an adult student who will be enrolled as Independent Student, and all school-related communication will be directly sent to the student. Please fill all mandatory fields. Please submit one passport size photo and a copy of ID proof during your next visit. Thanks.

First Name

Last Name

Email Address:

Mobile Phone:

Address:

Address Line 2:

City:

Birth Date:

Gender MaleFemaleWill Not Specify

Preferred Payment Schedule

Date of Joining (First Scheduled Class Date)

Emergency Contact Number

Day Preference - One MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Day Preference - Second MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Time Preference for Once a Week Frequency 10-11am11-12am12-1pm1-2pm2-3pm3-4pm4-5pm5-6pm6-7pm7-8pm8-9pm

Time Preference for Twice a Week Frequency (if applicable) 10-11am11-12am12-1pm1-2pm2-3pm3-4pm4-5pm5-6pm6-7pm7-8pm8-9 pm

Mode of Payment CashChequeBank TransferUPI PaymentCredit CardDebit CardPhone peGoogle Pay

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