ONLINE REGISTRATION FORM 2019

Admission to PLAY GROUP to CLASS XI
Please Fill all the Fields Carefully.........
1. Name of the Student: *
2. E-mail
3. Mobile Number (Parent/Student)
*
(Please give your 10 digit mobile no)
4. Class you want to apply for *
5. Gender Male Female*
6. Date of Birth *
7. Parent Name *
8. Mailing Address *
(Max. Chars 400)
9. Student's
     Residence District
*    
10. Put this exact code in this box : *
Declaration by the Candidate :

I hereby declare that all the particulars stated in this application are true to the best of my knowledge and belief. I also agreed to receive information through SMS & email from time to time.

   

Help Line - 9439955311, 797814403, 9437494619

DISCLAIMER: This registration is purely for counselling purpose of SYNERGY GROUP only & may not lead to final admission. No one can calim admission into the institute on basis of this registration without any rank in JEE MAIN 2017.