Name
Photo of Applicant (Under 100kb)
Age
Date of Birth
Gender
Male
Female
Other
Email
Phone
Nationality
Marital Status
Religion
Community
Name of Father/Guardian
Occupation and Annual Income of Father
Address for Correspondence
Address of Guardian
Permanent Address
NEET
NEET Roll No.
NEET Score
NEET Rank
Qualification
Qualification
Name of Exam
Year of Passing
Name of University/Institution/Board
Percentage of Marks Obtained in Plus 2
Physics/Chemistry/Biology
Biology
References
Name
Mobile No.
Name
Mobile No.
Languages Known
Language
Read/Write/Speak
Read
Write
Speak
Language
Read/Write/Speak
Read
Write
Speak
Signature of Parent (Under 100kb)
Signature of Applicant (Under 100kb)
10th Certificate (PDF Under 300kb)
12th Certificate (PDF Under 300kb)
NEET score card (PDF Under 300kb)
Place