JEE Application Assistance Form – College2Campus2Corporate

This form does not submit your JEE application. Your official application and fee payment must be completed on the NTA website. We never ask for Aadhaar numbers, passwords, OTPs, card or bank details, or copies of documents here. Never share OTPs with anyone.

1. Student details

Candidate’s name Exactly as on Class 10 certificate Date of birth As on Class 10 record Gender Category As per your certificate Person with disability (PwD/PwBD)? Father’s / guardian’s name Mother’s name

2. Contact details

Student mobile 10 digits, you can access Parent/guardian mobile Email address You or a parent can open it

Present address

District State PIN code

Permanent address is the same as present address

3. Academic details

Class 10 board Class 10 passing year Class 12 status Class 12 board Class 12 passing / appearing year Class 12 marks/percentage Only if result is out

4. Examination preferences

Course(s) planning to apply Question paper language

Examination city preferences (up to four, subject to options on the NTA portal; no city is guaranteed)

5. Readiness (tick what you already have) Recent passport-size photograph (JPG) Signature image (JPG) Class 10 certificate/marksheet (PDF) Category / disability certificate, if applicable (PDF) Payment method ready Best time for counsellor to call Anything else we should know? Do not write OTPs or passwords

I confirm the details are correct and I agree that College2Campus2Corporate may store them and contact me (and my parent/guardian) to help with my JEE application. If I am under 18, my parent/guardian has agreed.