Registation Fees - Rs.1100/-

Apply for Class :
Name of Candidate :
Father Name :
Mother Name :
Date of Birth :
Permanent Address :
Student Mobile No. :
Parents Mobile No. :
Email :
Addhar Number :
Pincode :
City :
State :
Passport Size Photo With Signature :
10th Marksheet :
12th Marksheet :
Graduation / PG Marksheet
(if Applicable) :