A GURUKUL FOR FORTUNATE - 40

Name * This is a required question

Date of Birth * This is a required question

Gender * Choose One MaleFemale This is a required question

Father Name * This is a required question

Email ID * This is a required question

School/College Name * This is a required question

Class Presently Studying in * Choose One VIIVIIIIXXXIXIIXII Pass This is a required question

Career which You Choose * Choose One EngineeringMedicalOthers This is a required question

Address * This is a required question

District * This is a required question

Pincode * This is a required question

Annual Income of Parent (Lac Per Annum) * This is a required question

Mobile Number * This is a required question

Fathers Mobile no * This is a required question

Exam Center 1 * Choose One Darbhanga ZoneChamparan ZoneSaran ZonePatna ZonePurnea ZoneBhagalpur ZoneGaya ZoneBegusarai Zone This is a required question

Exam Center 2 * Choose One Darbhanga ZoneChamparan ZoneSaran ZonePatna ZonePurnea ZoneBhagalpur ZoneGaya ZoneBegusarai Zone This is a required question