Online Admission | EKALAVYA COACHING INSTITUTE

If you face any problem while filling the admission form, please contact us at +91-7002703252.

Personal Details

Student Information

Title*

First Name*

Middle Name

Last Name*

Gender*

Date of Birth*

Mobile Number*

Email Address*

Category / Caste*

Confirm Your Details

Confirm Title*

Confirm First Name*

Confirm Middle Name

Confirm Last Name*

Confirm Gender*

Confirm DOB*

Confirm Mobile*

Confirm Email*

Confirm Category*

Parents’ Details

Father's Name*

Mother's Name*

Father's Occupation*

Mother's Occupation*

Parent Contact Number*

Annual Family Income*

Address Details

Present Address

Permanent address is same as present address

Permanent Address

Academic Details

Student Type *

Class 10 Details (Mandatory)

Board *

School Name *

Year of Passing *

Medium *

Total Marks *

Marks Obtained *

Percentage *

Class 11 Details

Board

School Name

Year (Passing / Appearing)

Total Marks

Marks Obtained

Percentage

Class 12 Details

Board

School Name

Year of Passing

Total Marks

Marks Obtained

Percentage

NEET Attempt Details (For Droppers)

Have you attempted NEET earlier?

NEET Year

NEET Score (out of 720)

NEET Rank (Optional)

Course Preference

Course Applied For*

Document Upload

Passport Size Photograph * Max size: 500 KB • Formats: JPG, PNG

Signature * Max size: 500 KB • Formats: JPG, PNG

Class 10 Marksheet * Max size: 2 MB • Formats: JPG, PNG

Class 12 Marksheet * Max size: 2 MB • Formats: JPG, PNG

Declaration

1. I hereby declare that all the information provided by me in this admission form is true, complete, and correct to the best of my knowledge.

2. I understand that any false or misleading information provided may result in the immediate cancellation of my admission without any refund of fees.

3. I authorize EKALAVYA COACHING INSTITUTE to verify the authenticity of the documents submitted by me.

4. I agree to strictly follow all the rules, discipline, and code of conduct established by the institute.

5. I understand that the seat allotment is subject to availability and the institute's verification process.

I hereby declare that the above information is true to the best of my knowledge.*

💳 Important: Payment Policy

Please note: No online payment is processed here. Once your application is reviewed, our office will call you. You must deposit the fees in-person at the institute office only after receiving the official call from EKALAVYA COACHING INSTITUTE.