Enrollment Form For IIT JEE, NEET, NTSE Courses

Enrollment Form

Academic session

Wing

Center

Basic Information:

Student First Name*

Student Last Name

Date Of Birth

Admission For Class

Gender*

Category

Email id*

Previous School:

School name*

Mark Secured in the last Exam

Special Achievement

Guardian Information:

Father's Name*

Father's Mobile Number*

Mother's Name*

Mother's Mobile Number

Corroespondence Address:

Address line 1*

Address line 2

City*

State*

Pincode*