JEE EXPERT

REGISTRATION FORM FOR ADMISSION TEST For Any Help Please Contact - +91 9919447742 / 43

Please fill all mandatory * fields

1. Details about the Student

a) Name of the Student : *

b) Mobile No. : *

d) Date of Birth : *

e) Gender : *

f) Nationality :

g) Last Annual Exam / Board Exam Aggregate Marks (%)

/ C.G.P.A

h) Aadhar number of the student :

i) School :

j) Board :

2. Details about Admission Test

a) Admission Test Date :

b) Centre Code :

c) Present Class :

d) Program Code :

3. Communication Details

a) Correspondence Address :

b) Pin :

4. Parent’s Details

Particulars	Father	Mother
Name
Qualification
Occupation
Organization Name
Designation in Organization
Contact No.
Email Id.

5. Declaration by Parent/Student/Guardian

(1) I have verified the details filled in the form and I understand if an error occurs in the registration due to wrong details it will not becorrected by JEE EXPERT.

(2) Test Date, Test Centre, Program Code etc. cannot be changed once registered.

(3) Registration Fee will not be refunded in any case or transferred to any other Admission Test Date.

(4) I authorize JEE EXPERT to contact and send communication / information by SMS, e-mail, post on the above mentionedcommunication details given by me.

(5)I JEE EXPERT reserves the right to offer any study centre other than the one opted by the student, subject to availability / constraintsof seats.

(6)The Registered Office of JEE EXPERT is at Kanpur. In case of dispute, students / parents are subject to the exclusive jurisdiction ofappropriate courts in Kanpur only.