CHETANA - Education Society's

Academic Year*

Is Old Student*

Student Name (as per 10th register)*

Date of Birth*

Gender*

Father Name*

Mother Name*

Aadhaar Number

Mobile Number

Alternative Mobile Number

Address

Landmark

Village / City

Taluk

District

State*

Pincode

Student School Name*

Board of Exam?*

CBSE ICSE IGCSE Karnataka Board Maharashtra Board Telangana Board Others

Expected Percentage in Class 10th*

PU Preferred Combination?*

Preferred Mode of Study?*

Select Test Date*

Select Test Centre Reporting Time

Competitive Exam Preferred Combination?*

How did you come to know about Chetana Group Of Institutions?*

Friend

Reltives

Paper Ad

From Student

Others

For College

Online Enquiry / Registration