Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Name *FirstLastSchool Name / Science Parents Contact Number *Email ID *Science Stream only PreferredPhysicsChemistryMathematicsBiologyClass *101112BOARD *CBSEICSEISCPreferred Centre *SiliguriGangtokParents / Guardian Name *FirstLastParents / Guardian Number *Submit DECLARATION I hereby declare that all the information provided above is true to the best of my knowledge, and I agree to abide by the rules and regulations of Brilliant Coaching.