Enroll Now Fill out the below form with appropriate details to submit your application. Mandatory fields are marked with asterisk * Registration Fee : ₹500 Student's Name* Student's Contact No.* Contact Email* Upload your recently taken passport size coloured photo* Father's Name* Mother's Name* Alternate Contact No.* Date of Birth* Gender Select GenderMaleFemale Category Select CategoryGeneralGeneral-EWSOBCSCSTOther School* Course For* Select CourseJEENEETXI FoundationXII FoundationXII Passed (targeted) Subject Stream Select StreamNEET+2 Schooling City (Town) District Permanent address* State Pincode