Dream Route Consultancy
Fill this form carefully to register for personalized NEET UG counselling guidance.
All India Rank (AIR) *
NEET Score (out of 720) *
Full Name *
Gender *MaleFemaleOther
Date of Birth *
Aadhaar Number *
Domicile State *Select StateWest BengalBiharOdishaJharkhandAssamTripuraDelhiMaharashtraKarnatakaTamil NaduOther
Category *EWSGeneralOBCSCSTPWDSpecial Category
Email Address *
Mobile Number *
WhatsApp Number *
All counselling updates will be shared on this WhatsApp number
Full Address *
Father's Name *
Father's Mobile No. *
Mother's Name *
Mother's Mobile No.
Board Name *
School Name *
Passing Year *
Obtained Marks *
Total Marks *
Percentage / CGPA *
PCB Percentage *
Overall Percentage / CGPA *
Course Opted *MBBSBDSBAMSBHMSBUMSBSc NursingBVScBNYSOther
Counselling You Want to Apply For *All India CounsellingState CounsellingDeemed UniversityAIQ / IPU / ESIC
Priority State 1 *Select StateWest BengalBiharOdishaDelhiMaharashtraKarnatakaTamil NaduOther
Priority State 2Select StateWest BengalBiharOdishaDelhiMaharashtraKarnatakaTamil NaduOther
Priority State 3Select StateWest BengalBiharOdishaDelhiMaharashtraKarnatakaTamil NaduOther
Priority State 4Select StateWest BengalBiharOdishaDelhiMaharashtraKarnatakaTamil NaduOther
Preferred College Type *GovernmentPrivateDeemed UniversityCentral University
Preferred Seat Type *General / GovernmentManagement QuotaNRI QuotaState Quota
NEET Score Card10th Marksheet12th MarksheetAdmit CardCategory CertificateAadhaar CardPassport Size PhotographSignatureDomicile CertificateMigration CertificateGap CertificatePWD Certificate
1. Service charges are payable after technical aspects of counselling process. 2. Payment once made will not be refunded. 3. All information must be correct and verifiable. 4. We accept limited booking based on team capacity.
[acceptance* terms] I have read and agree to all the Terms and Conditions mentioned above. [/acceptance]
Date *
Place *
Candidate Name / Signature *
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