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1. Fill the form completely & carefully with providing your recent color photograph (Passport Size).
2. Take a print-out of the form after submitting.
3. Put your signature in respective columns.
4. Send the completed application form along with application fee of Rs. 200/- in the form of a
    Demand Draft in favour of "BHABHA CLASSES" payable at Kanpur.
5. Send the form by Speed Post to: "BHABHA CLASSES FOR IIT-JEE" C/o 607 C-Block, Panki,
    Kanpur (U.P.) - 208020

Technical Support for Contact us:- (+91) 9616037649

Personal Details:Provide your Personal details.
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Contact Details:Provide your Contact details.

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Academic Details:Provide your Qualification details.
Examination Name of School Place of
Passed/Appearing Year of
% Marks
Eighth (VIII) %
High School (X) %
Intermediate (XII) %
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I hereby declare that all the information provided in this form are true to the best of my knowledge & belief. Any violation found will lead to the cancellation of my admission and I give my absolute consent to be solely agreed with the decision of institution authorities. Further, if admitted, I promise to abide by the rules and norms of discipline of the institute. In case of any dispute, the court in Kanpur shall alone have the exclusive jurisdiction whatsoever.
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