Important Instructions- Fields marked with a * are required
Personal Details
Name of the Candidate:*
Date of Birth:*
Gender:*
Category:*


Fee Amount Rs. 400/-  (Rs. 100/- in case of SC/BC/EBP candidates of Haryana)
Course:*
Center Choice:*
Personal E-Mail (which you access on daily basis):*
Re-type your Email address:*
Landline Phone no with STD code:
Mobile No:*
Enter your personal Mobile No. only for future communication.
Parent's Details
Father's Name:*
Mother's Name:*
Parent's Mobile:
Login Details
Please enter a password for your login. Password can contain minimum 10 alphanumeric (combination of alphabets and digits) characters.
Password:*
Re-type Password:*  
Security Question*
Answer*



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