Registration for a free NEET/IIT- JEE Coaching by Vikalpa Foundation in collaboration with the Haryana Government
Name *
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Father Name *
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Mother Name *
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DOB *
Fill in given format only (dd-mm-yyyy)
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Gender *
Percentage Marks in 10th *
Fill up the % upto 2 decimals
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School *
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Stream *
Mobile No. 1 *
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Mobile No. 2 *
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Email ID
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District *
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