Registration Form

Course applied for :

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Details of Entrance Examinations Appeared for session 2019-20
Fill your Roll Number(if appeared)
AIPMT NEET
CPMEE*
Personal Details
Name of the Student :
Father's Name :
Mother's Name:
Gender : Date of Birth :(such as :12/09/2015)
Address:
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District: State:
Aadhaar No.: Mobile No.:
Email Address: Other Mobile No.:
Academic Qualification
S.No. Examination Passed Subjects Year Percentage Board
1
2