REGISTRATION FORM - FOR NON BANSALITES
Attention!!! BANSAL CLASSES STUDENTS, NO NEED TO FILL THIS FORM
FEES BANSAL STUDENT NON-BANSAL STUDENT
OFFLINE Mode FREE 500/- FOR ALL 3 Paper
Exams Centre
Select Test Dates
Student Name  
Father's Name  
Mother's Name  
School  
Email    
Date of Birth(DD/MM/YYYY)  
Contact No.
(Mobile Only as we will send you an
AUTHENTICATION CODE on it)
 
Correspondence Address  
JEE MAIN APPLICATION NO.  
NOTE: After Submission of this form, take printout of Admit Card and get it signed and sealed from Bansal Classes Office alongwith Registration Fee*
* REGISTRATION FEE TO BE PAID IN CASH