JEE Admission

*Mandatory Field

First Name*

Last Name*

Father's/Gaurdian's Name*

Father's/Gaurdian's Occupation

Mother's Name*

Mother's Occupation

DOB*

Gender*

Blood Group*

Category*

Address*

City*

State*

PIN*

Contact No*

Email Address

AADHAR No

School/College Name*

School/College Address*

Class X %(Science, Maths Aggregate)*

Class XII %(PCM Aggregate)*

JEE Score(If appeared)

Exam Board*

How did you come to know about us?*

Promotions Team

Newspapers

Teachers

Friends/Relatives

Website

Date

Place*

Note: Filling this form doesn't guarantee the admission. This form is for appearing in ZHAS Talent Search Entrance Examination.