Registration Form Students Name Address Line 1 Address Line 2 Select State Select State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Enter City Name Pincode Phone Number Parent Mobile Number Date Of Birth Gender Male Female Email 9th Std Percentage 10th Std Expected Percentage 10th School Name Select 10th Board Name Select Board Name Maharashtra Board ( SSC ) CBSC ICSC Other Preparing For NEET IIT - JEE MHT - CET Do You Need Hostel Facility Yes No Submit