Candidate Detials

    JEE(Main) Application number            Date of Birth  
    Candidate's Name                        Category  
        OBC-NCL
        General
        SC
        ST
    
    Mother's name                           Person with Disability(PWD)As per JEE(Main)  YesNo
    Father's name                           Nationality  
    

Complete Mailing Address

    Address  Enter Address
    Country  
        America
        China
        Korea
        Russia
        India
        Japan
        Canada
    
    State  
        Uttar Pradesh 
        Rajasthan
Punjab
Haryana 
Bihar       
                                          District   
Locality                                Mobile Number  
City/Town/Village                       Email Address  
Pin Code                                Additional Mobile Number  
Land Line Number                        Additional Email Address  

Academic detials of Class XII(or equivalent)examination

Year of Passing or Appearing  
Name of the Class XII(or equivalent)examination  
School Board  
UP Board OF HIGH SCHOOL & INTERMEDIATE EDUCATION
CBSE BOARD
ICSE BOARD
BIHAR BOARD
 
Roll Number  
Name of the School/College  School/College name
Address of the School/ College  enter School/College Address

OBC-NCL Certificate detials

Do you have a Valid OBC-NCL Certificate?                   State/UT issuing the OBC Certificate  
OBC-NCL Caste/Community  Caste
Entry no. of OBC-NCL Caste/Community  

JEE(Main) Paper 1 Score

Physics        Chemistry        Maths        Total  
Remarks  

Furnished information for JEE (Advanced)

Do you have disability and having difficulty in writing?   YesNo
Need scribe/reader   YesNo
Class XIIth for equivalents & Qualifying Exam (QE) Passed From                  Year of first appaerance in Class XII Exam  
1999
2000
2001   
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029    

Year of first attempt in JEE (Advanced)  
1990
1991
1992
1993 
1994
1995  
1996
1997
1998 
1999
2000
2001   
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029 
               Color Blindness  YesNo
One eyed vision   YesNo                                  Eligible for DG Seats   YesNo     

Examination City for JEE (Advanced)

1st choice of exam city                2nd choice of exam city  
3rd choice of exam city                4th choice of exam city   
5th choice of exam city                6th choice of exam city   
7th choice of exam city                8th choice of exam city   

Payment Detials

Payment mode                           Transaction ID  
Registration fee                       Date of Transaction  

Certificates uploaded

Class XI or Birth Certificates     

Class XII(or equivalent) mark Sheet        
Declaration by the candidate of OBC-NCL Certificate