National Testing Agency

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University Type *

University *

College Name *

Designation *

Full Name *

Date of Birth *

Email Address *

Alternative Email

Mobile *

Alternative Mobile

Residential State *

Residential City *

Residential Address *

Official State *

Official City *

Official Address *

Official Identity Card *

PAN Card No *

PAN Card Image *

Last 4 digit of Aadhaar *

Your Organisation Email that verifies you *