Registration

Scholarship Exam Registration

Student Details

Student Name *

Gender *

Male Female

Date Of Birth *

Quarterly / Terminal-1(Aggregate Marks %) *

Course *

IIT NEET IIT-NEET Foundation

Presently Studying Board *

CBSE State Board Matric Others

Preferred Coaching Campus *

Communication Address

Address *

City *

State *

Pin Code

Presently studying school details

Name of the School *

Studying School *

Velammal Others

Name of the School *

Admission Class *

Section

Address *

Father/Mother/Guardian Name *

Contact Number *

I/We hereby declare that the information furnished on this Application form is correct to the best of my/our knowledge and belief.