LGA
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Student Application Form

Lincoln Global Academy

Postal Address :
54, Rajendra Nath Chatterjee Road
Kolkata – 700035, India

Telephone : +918017559717

Email : [email protected]

Website : www.lincolnglobalaca.com


*Please note typed or printed names will not be accepted. Lincoln Global Academy (LGA) accepts only handwritten signatures.

* Certified copies of original documents are required.

Privacy : Your personal information is collected on this form to assess your application for enrolment into LGA. LGA may contact your previous education provider to verify information provided in this form. If your application is successful, the information you provide will be used for selection and process your enrolment in LGA.

General Instructions

  • Before you proceed to fill the application form please ensure that you have read and understood the eligibility criteria for the PROGRAMME you are applying for.
  • Meeting the eligibility criteria is mandatory to get admission to LGA.
  • Please select the Programme you wish to seek admission to. Only ONE program can be selected per application form. If you wish to apply for more than one program, use separate application forms.
  • Please fill the application form only in ENGLISH, unless it is specified to write in any other language.
  • Application form needs to be completed. If any field/s do not apply to you, mark as N/A.
  • Please be careful in filling up the information in all aspects. Incomplete form will not be accepted.
  • Any error/misinformation in the application form shall result in cancellation.
  • Candidate should fill his / her basic details like Date of Birth (DOB), Address, State, City, Country, Contact / Mobile Numbers and Email very carefully.
  • Enter your First name/ Middle name/Family name in the space provided. The name should be same as mentioned in the Class X/XII/School leaving certificate.
  • Important updates on the admission process will be available on the website.
  • Before final submission of application form, read the declaration carefully and give your consent on it, failing which your application will remain incomplete.
  • Once submitted no changes/modifications will be possible for the information provided. No communication shall be entertained in this regard.
  • Any admission related query/grievance should be addressed to the following e-mail id: [email protected]
  • Applicants are advised to read the application form carefully and keep ready the digital or scanned copy of all the documents in pdf format for uploading.

1. Student Information

Please enter your First Name.
Please enter your Last Name.
Please enter your Date of Birth.
Please enter your valid e-mail.
Please enter your valid mobile no.



Please choose your Gender.
Please enter your Address.
Please enter your City.
Please enter your Pin Code.
Please enter your State.
Please choose your Country.
Please enter your Hobbies.
SL. NO. EXAMINATION BOARD PERCENTAGE YEAR OF PASSING
1
2
3
4
5
6
7
Please select programme

2. Parent/Legal Custodian details
Parent/Legal Custodian 1

Please enter Full Name.
Please enter valid Mobile no.
Please enter valid Phone no.
Please enter valid e-mail.
Please enter Address.
Please enter Relationship to student.

Parent/Legal Custodian 2

Please enter Full Name.
Please enter valid Mobile no.
Please enter valid Phone no.
Please enter valid e-mail.
Please enter Address.
Please enter Relationship to student.

3. Alternate contact details (to be used if the parents/legal custodians are not contactable)

Please enter Full Name.
Please enter valid Mobile no.
Please enter valid Phone no.
Please enter valid e-mail.
Please enter Address.
Please enter Relationship to student.
Please enter Relationship to student’s Mother/ Father/ Legal custodian.

Declaration, acknowledgement and consent

  • I declare that the information given in this application form is complete, true and correct.
  • I understand that providing false or misleading information, or non-disclosure of relevant information, may result in cancellation of the student’s enrolment.
  • I agree that if any of the information on this form changes, I will provide updated information to LGA as soon as possible and within 7 days.
Please upload Student’s Signature.
Please upload Parent/legal custodian signature.