Registration Form

Registration No ( If Provided )

Student Name

Father Name

Mother Name

Student Qualification

School / Collage Name

Board

10th Marks

11th Marks

12th Marks

NEET- JEE Marks

NEET - JEE Attempts

Parent Mobile No

Student Mobile No

Email Id

Date of Birth

Gender

Cast Category

Blood Group

Address

City

State

Pincode

Courses Joined

Others

Select Branch

FEES

Installments

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I hereby declare that the information furnished above is true and correct to the best of my knowledge.