Student Registration Form
Name
*
Mobile Number
*
Confirm Mobile Number
*
Email
Date of Birth
*
Gender
*
Select Gender
Male
Female
Category
*
Select Category
General
OBC
SC
ST
Village/Town
*
Father's Name
*
Mr.
Father's Education
*
Select Education
5th
8th
10th
12th
BA
BSc.
Other Graduate
MA
MSc.
Other Post Graduate
Doctorate
Father's Profession
Select Profession
Farmer
Daily Wager
Government Job
Private Job
Business
Other
Mother's Name
*
Mrs.
Mother's Education
*
Select Education
5th
8th
10th
12th
BA
BSc.
Other Graduate
MA
MSc.
Other Post Graduate
Doctorate
Mother's Profession
Select Profession
Farmer
Housewife
Daily Wager
Government Job
Private Job
Business
Other
Current Class
*
Select Class
1
2
3
4
5
6
7
8
9
10
11
12
Your Rank in current class
*
School Name
Medium
*
Select Medium
English
Hindi
What do you aspire to be?
IIT/Engineer
MBBS/Doctor
IAS/PCS
Lawyer
Scientist
Teacher
Player
IIM / Manager
Social Worker
Entrepreneur / Business
Artist
Other
Study Hours at Home
Select Hours
1
2
3
4
5
6
7
8
Photo
*
Last Year Marksheet
% of Marks Obtained last year
Any other achievement / Prize / Dance /Drama /Music/ Arts / Sports
Any Other Information
Submit