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Registration Form
Test Date:
Name of the Candidate * Name of School: *
Class Studying * D.O.B. *
Gender * Category: *
Father’s/Guardian’s Name: * Occupation*
Father's Mobile No. * Father's E-mail.*
Mother’s Name: * Occupation*
Mother's Mobile No. Mother's E-mail.
Residential Address: * Area *
City * State *
Pin Code * Phone No.
Grade / Marks obtained in previous class : Maths
Grade / Marks obtained in previous class : Science
Grade / Marks obtained in previous class : Overall
Board *:     CBSE     ICSE     Other
Centre *
How did you know about Narayana IIT/NEET Academy, East Delhi?
    Marketing Team     Teachers       Website       Friends/Relatives       Newspaper       TV      
Note 1: 200 Reg Fees ( Need to submit at the time of Exam)
Note 2: All disputes are subject to Delhi Jurisdiction

I authorize Narayana IIT/NEET Academy, to call me and send me information by sms, e-mail, post on the above mentioned communication details. I also declare that all the details stated above in this registration form are true to the best of my knowledge and I promise to abide by the rules and regulations of Narayana IIT/NEET Academy.