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Register with us

Please read the terms and conditions before filling the form

*Name of Candidate* (Type full name as available in your certificates)
*Gender
*Date of Birth
*Email
*Father's Contact Number
*Student's Mobile number
*Stream in XII (Main Subject)
photo
*Residential address
*School Name
*School Address
*Location
*State
*PinCode
*Father's Name
*Father's Occupation
*Father's Designation & Office address
*Father's Email id
*Course
*Exam Year
*Exam Month
*Mode of Study
*Time
*Time
*Were you an old Pillai's student?
Yes
No
*How did you come to know about Pillai's ?
Pillai's website
Through Friends
From an Old Student of Pillai's
Paper Advertisement
*Have you registered at the Respective Institute?
Yes
No
*
*Payment Through
Demand Draft
Cash
*
I have read the terms and conditions.