Registration Form
Student's Full Name
*
Father's Name
*
Mother's Name
*
Email
*
Phone Number
*
Address
*
Application For
*
IIT-JEE / Engineering
NEET-UG / Medical
Scholarship Category
*
90% and Above in X or XII (BPL Families)
90% and Above in X or XII (All Category)
80% - 90% in X or XII (All Category)
Below 80% in X or XII (All Category)
Name of School Attended for Class X
*
Class X Board
*
Select your option
CBSE
ICSE
UP
Others
Percentage Scored in Class X
*
Select your option
90 and Above
80-90
Below 80
Marksheet of Class X
*
Name of School for Class XII (If Appeared / Passed)
Class XII Board (If Appeared / Passed)
Select your option
CBSE
ICSE
UP
Others
Percentage Scored in Class XII (If Appeared / Passed)
Select your option
90 and Above
80-90
Below 80
Marksheet of Class XII (If Passed)
Attach Aadhar Card
*
If BPL, Attach BPL Card
*
I agree to the terms and conditions
Submit
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