Name of the Candidate
Father’s Name

ACADEMIC DETAILS

10th Board —Please choose an option—Jharkhand Academic CouncilBihar BoardWest Bengal BoardICSECBSENIOSOther
Percentage

I.sc. (PCM), I.Sc (PCB) with Math —Please choose an option—Jharkhand Academic CouncilBihar BoardWest Bengal BoardICSECBSENIOSOther
Percentage

CONTACT DETAILS

Mobile (Student)
Mobile (Parent/Guardian)
Email
Address
District
State

NOTE

• There is no application fee.

• For further enquiry contact : +91 9835382486, 9122801004 between 9am and 4pm.

• There is no agency involved in admission process.

• Any canvassing will lead to the cancellation of candidature.