Volunteer Coaching Center
Application For IIT-JEET (11
th
& 12
th
) Free Coaching Program for SC/OBC Students.
Select Class
12th Non Medical Pass
12th Non Medical Appearing
Select Target Exam
IIT-JEE
Student Name
Father Name
Mother Name
Email Id
Gender
Male
Female
Date of Birth
Select Medium
Hindi
English
Address
District
Select State
Select State
Andaman and Nicobar Islands(UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra and Nagar Haveli (UT)
Daman and Diu (UT)
Delhi (UT)
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Select Category
SC
BC-A
BC-B
General
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)
Registration Fee (To be deposited cash at your district's ECA office)
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. Batches will start from April 15, 2020.
2. Admission will be done on the basis of your academic records.
3. 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 lac (Original & 1 Photocopy)
e. Bank Passbook for SC/OBC Candidates only (1 Photocopy)