92487 101 23, 92487 201 23, 92487 301 23

    Candidate Details
    Candidate Name :
    Interested For :
e.g.: engineering, medical, bpharmacy, MBA, MCA
    City :
    Phone No :
    Mobile No :
    Mobile No 2 :
    Email ID :

        Note: If appeared more than ONE EXAM, kindly fill the form again with full details
    Educational Details
    If Yes Specify Entrance Test :
e.g.: Eamcet, ICET, CAT.
Note: specify one exam only
    Rank :
    Caste :
    Region :
e.g.: AU, OU, SVU etc
    Qualification :
e.g.: Degree, Inter, 10th
    Percentage :

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    Interested Colleges :
    Interested Courses : Hold ctrl key for multiple selection
    Interested Place :
    Fee Range : & below