Personal Information
(Please fill the information as given in your Class X admit Card)

Student's Name:

Enter student's name

Father's Name:

Enter Father's Name

Mother's Name:

Enter Mother's Name

Gender:

Male Female

Date of Birth
(DD/MM/YYYY)

Correspondence Address:

Correspondence Address Required

City

City Name Required

State:

Enter State

Pincode:

Pincode Required
Pincode should be six digits

Permanent Address:

click here if Permanent address is same as correspondence address

Permanent Address Required

City

City Name Required

State:

Enter State Name

Pincode:

Enter Pincode
Pincode should be six digits

Nationality:

Enter Nationality

Caste:

GEN

OBC

Others

Contact No:

Contact Number Required
Should be 10 digits

Alternate Contact No.

e-mail address:

email address required
Invalid E-mail Address

	Education Qualification
	Board/University Name Enter Board/University	Name of Exam	Year of Passing Enter Year of Passing	Division/Grade Enter Division
1.
	Enter Board/University		Enter Year of Passing	Enter Division
2.
	Enter Board/University	Enter name of Graduation Exam	Enter Year of Passing	Enter Division
3.