Apply for IMU-CET Coaching

IMU-CET Coaching with Food/AccommodationIMU-CET Coaching without Food/Accommodation

Full Name (in Capital Letters) (As given in the records of Board/University): *

Father`s Name: *

Mother`s Name: *

Permanent Address: *

Pin: *

City: *

State: *

Contact No: *

Alternate No:

Email: *

Date of Birth: *

Nationality: *

Place of Birth: *

Sex: *
MaleFemaleOther

Marital Status: *

Blood Group: *

Height: *

Weight: *

Name of the School from where you passed 10th:*

Name of the School from where you passed 12th:

Name of the Institute/College(Diploma/Degree)

Upload attested photocopies of the following documents (Each document should be less than 300 kb in size in jpg/png/pdf format)

Photo ID proof *

Address proof *

10th Mark Sheet *

12th Mark Sheet

Degree

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