:: NTA NEET EXAM - Student Registration ::

Select Exam Category *
Student Name*
Upload Student Photo* Note: Upload JPG/PNG file extension only
NEET Register no *
Community *	OBC SC ST UR (or) General
Date Of Birth (dd-mm-yyyy) *
Gender *	Male Female
School Address *
Pattern of Education *
Group *
Father / Guardian Name *
Residental Address *
Pincode *
Phone Number(with STD code)
Mobile *
Email Id *
Password *

PAYMENT OPTIONS

Bank Transfer

Mother Glory Educational & Charitable Trust

Account No: 50200023969774
IFS Code: HDFC0000407
Type of Account: Current
Name of Bank : HDFC

Proof of payment *	Note : Provide your payment details (Transaction no, date, id etc.,)