Scholarship - WhiteRay Institute

Registration Form

Registration Form

Name Of The Student:

Name Of The Student:

Name Of The Student:

Name Of The Student:

Course Applied for :

Mother`s Name

Mother`s Name

Mother`s Name

Mother`s Name

Father`s Name:

Father`s Name:

Father`s Name:

Father`s Name:

Date Of Birth:

Father`s occupation:

Address:

City:

State:

Pin Code:

Phone No. With STD Code:

Father`s phone Number :

Mother`s Phone Number :

Student`s Phone Number :

Email ID of Student:

Choose Category:

General

OBC

SC

ST

Name of the School and City ( Last Attandant ):

Class:

Board :

Passing Year:

%age/CGPA: Math & Science only

Class:

Board :

Passing Year:

%age/CGPA: Math & Science only

Class:

Board :

Passing Year:

%age/CGPA: PCB only

Markes in NEET ( Only for Dropper Student ) :

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