Online admission

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Online admission

DETAILS OF STUDENT

Name of Student

Father’s Name

Mother’s Name

Aspirant Mobile No

Parents Mobile No

Candidate_image

Stream of Test

NEET-UG JEE

Year of Passing

Class X

Class XII

Number of Times applied

NEET-UG

JEE

Gender

Male Female

Nationality

Present Address

Sector/ Colony

P.O.

P.S.

Town

District

PIN

State

Permanent Address

Sector/ Colony

P.O.

P.S.

Town

District

PIN

State