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    1. Student Information

    1. Name of the Candidate

    2. Date of Birth

    3. Gender

    4. Class Studying

    5. Name of the School

    6. Student Email ID

    7. Student Mobile Number

    8. Residential Address

    2. Parent Details

    9. Father’s Name

    10. Father’s Occupation

    11. Father’s Mobile Number

    12. Father’s Email ID

    13. Mother’s Name

    14. Mother’s Occupation

    15. Mother’s Email ID

    3. Course Chosen by the Candidate

    A. Tuition – Subjects

    Subject 1

    Subject 2

    Subject 3

    B. NEET / JEE Foundation

    NEET FoundationJEE Foundation

    4. Declaration


    I hereby declare that I have read all the rules and regulations of the institute and I will abide by them.


    The information I have furnished is true and verified.


    I am fully aware that the fee once paid will not be refunded by the institute.

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