Class* Class 12th 12th Passout Board* CBSE ICSE UK Board UP Board Medium* Hindi English Student name* Date of Birth* DD slash MM slash YYYY Gender* Male Female Other Category*Select CategoryGENOBCSCSTPHEmail Id* Mobile No. (of Student if any) School / College last Attendant / Presently Attending*With AddressPhoto*Accepted file types: jpg, gif, png, Max. file size: 100 MB.(Photo Size Should be Max 100Kb)Parent's DetailsFather Name* Occupation* (Please Specify the post, if in service)Mobile No.* Mother Name* Occupation* (Please Specify the post, if in service)Mobile No.* AddressAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Note :‐For any problem Please call on 7452874798 (Mr. Mayank Punetha)
