Registration for CSIR UGC NET / IIT JAM Physics Coaching.

Online Registration

Name *

Enter Your Name

Father's/Mother's Name *

Gender *

Date of Birth *

Mobile Number *

Enter 10 Digit Mobile Number

Fathers/Parents Mobile No *

Enter 10 Digit Mobile Number

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Qualification *

College/University *

Course

Course Type *

Registration No.

Enter your registration number provided by Pravegaa

Amount Paid *

Enter Amount

Last 4 Digit Transaction ID *

Upload Your Photo *

Click or drag a file to this area to upload.

Upload Your Photo