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

Visakhapatnam Exam Centers
Asilmetta Nstl Pm Palem Steel Plant (Exam Date - 04/04/2026)

OUTSTATION EXAM CENTERS (Date of Exam- 05/04/2026)
SRIKAKULAM(SUN School)
VIZIANAGARAM(Gurajada Public School)
PARVATHIPURAM(Suresh High school)
RAJAM(RS ACADEMY)
PATHAPATNAM(OXFORD EM school)