Register a new Student


Full Name (Enter as [First Name] [Middle Name] [Last Name])  
Gender  
Date Of Birth  
Email Address  
Phone Number
Alternate Phone Number
Permanent Address  
Current Address  
Father Name[Full Name]  
Father Phone Number
Father Occupation  
Family Annual Income  

SCHOLARSHIP INFORMATION

Scholarship Applied For  
Select Test  
Currnet graduation
Institution/College Name (Currently studying in)   Institution/College Address  
City  
State  
Pincode  
Subject/Specialization  

ACADEMIC PERFORMANCE

Higher Secondary School
Institution/College Name   Address  
City  
State  
Grade(in % Only)  

Bachelor’s Degree Performance
Institution/College Name Address
City
State
Bachelor’s Grade (in % Only)
F.Y
S.Y
T.Y

Master’s Degree Performance
Institution/College Name Address
City
State
Master’s Grade (in % Only)
F.Y
S.Y
T.Y

Note :
1) Student should send this form and the relevant documents requested by email (weikfield@weikfield.com) or post to the office address mentioned in below.
WeiKFiELD Products Corporation LLP
3A, 3rd Floor, Vascon Weikfield Chambers,
Weikfield IT Citi Infopark, Shri. Satpal Malhotra Marg,Nagar Road, Pune 411-014
Maharashtra, India
Tel: +91-20-66478300
2) Student can download the form after login.
3) Last Date For registration is 25th July 2019.
4) If in case of any technical issues, please take screenshot & email it to "weikfield@weikfield.com".