Application For IIT-JEE / NEET Entrance Exam Coaching Program

Select Class

Select Target Exam

Student Name

Father Name

Mother Name

Email Id

Gender

Date of Birth

Select Medium

Address

District

Select State

Select Category

Aadhar No (12 characters of original Aadhar Card to be produced later)

Annual Family Income(Original Family Income Certificate to be produced later)

Contact No.(10 Digits no. to be verified using OTP)

Last Qualification	Total/Maximum Marks	Marks Obtained	%	Uiversity Regn. No.
Overall / Gross Graduation Score (BA/ B.Com/ B.Sc/ B.Tech/ B.E / Medical etc) (To be checked at the time of admission.)

Instructions & Guidelines

1. Admission will be done on the basis of your academic records.
2. Following document are required to be submitted
a. 1 Photograph
b. Adhar Card (Original & 1 Photocopy
c. Caste Certificate (Original & 1 Photocopy)
d. Income Certificate below 8 lakh (Original & 1 Photocopy
e. Scanned copy of Bank Passbook (1 Photocopy)

3. Submit scanned copy of documents on this email Id ddkarnal@yahoo.co.in
4. Batches will start from July 16, 2021.