NEET 2021 – NEET Long Term Repeaters Admission Form

Name of the Candidate*
Date of Birth*
Father’s/Guardian’s Name*
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile*
Student / Parent Email*
Alternate Mobile Number
Aadhar Card
Gender*
Last School Name*
Preference of Location For NEET Long Term*
Location in Bangalore*