ONLINE REGISTRATION FORM
Course :    [/Med/Corr/] Target AIIMS 2009 (for medical 2009)
Price    :    1685/- (without relevant scholarships if any)
Personal Information  
  Name of the Candidate    
  Father’s / Guardian’s Name    
Contact Information  
 

Correspondence Address
State
Pin
Ph. (Res.)(with STD code)
Mobile No.
Permanent Address
same as correspondence address
State
Pin
Ph. (Res.)
E-mail ID of the Student
Additional Information

Mode of Payment Demand Draft Online Bank Transfer Credit Card
 
Payment Plan
Full
 
Pricing Options
Full Fee
10% concession will be given to those students who have secured 90% to 94.5% aggregate marks in Science and Maths in Class X.
25% concession will be given to those students who have secured 95% and above aggregate marks in Science and Maths in Class X.
 
I agree to the Terms and conditions.
 
** All the Terms and Conditions for this course are detailed in the course Prospectus.

Please note that all scholarship concessions will be confirmed only on receipt of the attested marksheet from the student and if the marks do not justify the concession, the differential payment will need to be made before the enrolment can be finalized