JEE/Neet | Registration

Basic Details

Training For *

First Name *

Middle Name *

Last Name *

Date of Birth *

Gender *

Aadhaar Number *

Mobile Number *

Email Id *

Schedule Caste *

Category *

Caste *

District *

Taluka *

Pincode *

Permanent Address *

Education Qualification

Location *

Institute *

10th Board : *

10th Passing Year *

10th School Name *

10th Obtain Marks : *

10th Total Marks *

10th Percentage *

10th Marks / Grade : *

Other Details

Family Income Details

Family Income *

Caste Certificate Details

Caste Certification number *

Caste Certification date *

Caste Issuing authority *

Caste Issuing District *

Caste Issuing Taluka *

Domicile Certificate Details

Domicile Certification number*

Domicile Certification date *

Domicile Issuing authority *

Domicile Issuing District *

Domicile Issuing Taluka *

Disability Details (Only 40% above are consider)

Disable Person : *

Orphan Details

Orphan Person*

Document Upload

Aadhaar Card *

Note : The file size should be less than 500KB .
Note : Only files in .jpg, .jpeg, .png, .pdf format can be uploaded .

SSC Marksheet : *

Note : The file size should be less than 500KB .
Note : Only files in .jpg, .jpeg, .png, .pdf format can be uploaded .

Income Certificate *