Contact information

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Contact information

Name of Applicant

Name of Applicant *

Date of Birth *

YYYY

Sex *

Male

Female

Father's Name *

Father Occupation *

Father Mobile Number *

Mother's Name *

Mother Occupation

Mother Mobile Number

Student Mobile Number *

NRI

Yes

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Address Line1 *

Address Line *

Country *

State *

District *

Pin Code *

Name of School *

Class Studying *

Board of Study *

Course Opted *

Subjects you emphasize

Maths

Physics

Chemistry

Biology

Computer Science

Other

Entrance exam you emphasize

NEET

IIT JEE

KEAM

KVPY

NATA

ICAR

Hostel Required *

Yes

How did you hear about us? *

Remarks

Declaration statement *

I hereby declare that all the above information is correct and accurate

Required

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