Student Details Student Name Father's Name Address City State --Select State-- Andaman and Nicobar Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Other Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal Email ID Mobile No. Payment Details Amount (To Be Paid) CPSTAR/CP Roll Number (If Any) Remark Buy Application Form Online for JEE Main (Alwar Branch)