Online Admission for IIT-JEE / NEET / NTSE / KVPY / Foundation (Class 7 to 10) in Patna

Online Admission

An integrated learning platform for

Study Centre :

Kankarbagh

Boring Road

Bailey road

Name *

Father’s / Guardian’s Name *

Email *

Mobile No. (Father / Guardian) *

Mobile No. : (Student) *

Date of Birth : *

Upload your recent photograph

Gender :

Male

Female

Others

Blood Group :

Category :

GEN

OBC

EWS

PWD

CWSN

Permanent address :-

Adress Line 1 *

Adress Line 2

City/District *

State/Province *

Postal Code *

Country *

Details of Mother/Father/Guardian :

Academic Qualification * :

	Class	Board/Exam	College/School Name	% Marks Obtained	Passing Year

Mother tongue *

Hometown *

Hostel Required :

Yes

Transport Required

Yes

Does the child have some special needs?Yes / No, if yes provide details :

I hereby declare that the above information furnished by me is correct to the best of my knowledge and belief.