Admission

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Particulars of the child/ Ward

Mobile No
E-mail
Target Examination :
JEE (Main+Advanced)JEE (Main)NEET/AIIMS
Class
XI (X to XI Moving)XII (XI to XII Moving)XII+(XII passing/Passed)
Medium
EnglishHindi

Personal Information

Name
Father Name
Date Of Birth
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Gender
Category
Permanent Address
City/Town/Villege
Pin Code
State
Mobile No.(Self)
Mobile No.(Father)
Email (Self)
Reference / Coupon Code (optional)
Photo(optional