Registration For Senior Wings
Name
*
Father Name
*
Mother Name
*
Date of birth
*
Gender
*
Male
Female
Category
*
select category
General
OBC
SC
ST
Father's Occupation
*
Contact Number
*
WhatsApp Number
*
Apply For
*
Apply For
Engineering (JEE)
Medical (NEET)
School Name
*
Class
*
select class
10th Board Appearing/Passed
11th Studying
Examination Centre
*
select examination centre
Ara
Aurangabad
Begusarai
Betia
Bhagalpur
Chhapra
Darbhanga
Daud Nagar
Gaya
Gopalganj
Lakhisarai
Madhubani
Mokama
Motihari
Muzaffarpur
Nalanda
Nawada
Patna
Raxul
Samastipur
Shekhpura
Siwan
Sitamarhi
Permanent Address
*
City / Village
*
District
*
State
*
PIN CODE
*
Submit