Student Name

Gender
Male   Female   Others

Date of Birth

Email Address

Father's Name

Mother's Name

Course Type
MPC/IIT   BIPC/NEET

Mobile Number

WhatsApp Number   (Same as Mobile Number)

10th Stream
SSC   CBSE   ICSE

Hostel Required
Yes   No

School Name

School Address

Address for Communication

Choose Your Exam Center
Visakhapatnam Local Exam Centers
(Exam Time : MONDAY TO SATURDAY 5pm to 7pm and SUNDAY 10.00 am to 12.15 pm)      Asilmetta
     Nstl
     Pm Palem
Out-Station Exam Centers (Exam Date - 23/11/2025)
     Pathapatnam
     Bobbili