Request A Call Back
India (+91)
USA (+1)
UAE (+971)
Saudi Arabia (+966)
Oman (+968)
Qatar (+974)
Kuwait (+965)
Malaysia (+60)
Singapore (+65)
Indonesia (+62)
Bahrain (+973)
Class
8th
9th
10th
11th
12th
12th Pass
Course
JEE
NEET
FOUNDATION
Are You
Student
Parent
Career
Mode
Online
Offline
Your Preferred Time
08:00 - 09:00
09:00 - 10:00
10:00 - 11:00
11:00 - 12:00
12:00 - 13:00
13:00 - 14:00
14:00 - 15:00
15:00 - 16:00
16:00 - 17:00
17:00 - 18:00
18:00 - 19:00
19:00 - 20:00
SUBMIT REQUEST
Home
07860786213
Online Admission Form
Home
Online Admission Form
Course Details
Academic Session
-Select-
2023-24
2024-25
Study Mode
-Select-
Offline
Online
Hybrid
Target Examination
-Select-
CUET-UG Program
JEE(Main + Advanced)
Medcal-NEET
Foundation (Class 8 - 10)
Course
-Select-
Classroom Learning Program (CLP)
Live Online Learning Program (Live OLP)
Online Recorded Classes
Crash Course /Short Terms Course
Gurukul Learning Program (GLP)
Scholarship Program (Brilliant Skill Quest)
Printed Study Material
Topic Wise Online Test Series
All India Test Series
>
Language to Learn
-Select-
English
Hindi
Hinglish
Current Class
-Select-
VIII (VII to VIII Moving)
IX (VIII to IX Moving)
X (IX to X Moving)
XI (X to XI Moving)
XII (XI to XII Moving)
XII+ (XII Passing/Passed)
Board
-Select-
CBSE
ICSE
RAJ
MP
UP
CG
BIH
HAR
JHA
KARNATAKA
PUN
MAH
GUJ
TN
KERALA
ANDHRA
TELANGANA
ASSAM
ODISHA
OTH
WBCHSE
JKBOSE
BOSEM
DBSE
NBSE
HPBOSE
TBSE
UBSE
MBOSE
Medium
-Select-
English
Hindi
Other
Student Details
Name
Date of Birth
Blood Group
-Select-
A+VE
A-VE
B+VE
B-VE
AB+VE
AB-VE
O+VE
O-VE
>
Category
-Select-
GEN
EWS
SC
ST
OBC
PH
DP
PM
OTH
Gender
-Select-
Male
Female
Other
Mobile No.
WhatsApp No.
Mail ID
Nationality
Aadhar Number
Upload Student Photo
Upload Student Signature
Address
House / Flat No
Colony / Area / Apartment
Near By Landmark
Country/Region
-Select-
Aruba
Afghanistan
Angola
Anguilla
Åland Islands
Albania
Andorra
United Arab Emirates
Argentina
Armenia
American Samoa
Antarctica
French Southern Territories
Antigua and Barbuda
Australia
Austria
Azerbaijan
Burundi
Belgium
Benin
Bonaire, Sint Eustatius and Saba
Burkina Faso
Bangladesh
Bulgaria
Bahrain
Bahamas
Bosnia and Herzegovina
Saint Barthélemy
Belarus
Belize
Bermuda
Bolivia, Plurinational State of
Brazil
Barbados
Brunei Darussalam
Bhutan
Bouvet Island
Botswana
Central African Republic
Canada
Cocos (Keeling) Islands
Switzerland
Chile
China
Côte d'Ivoire
Cameroon
Congo, The Democratic Republic of the
Congo
Cook Islands
Colombia
Comoros
Cabo Verde
Costa Rica
Cuba
Curaçao
Christmas Island
Cayman Islands
Cyprus
Czechia
Germany
Djibouti
Dominica
Denmark
Dominican Republic
Algeria
Ecuador
Egypt
Eritrea
Western Sahara
Spain
Estonia
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
France
Faroe Islands
Micronesia, Federated States of
Gabon
United Kingdom
Georgia
Guernsey
Ghana
Gibraltar
Guinea
Guadeloupe
Gambia
Guinea-Bissau
Equatorial Guinea
Greece
Grenada
Greenland
Guatemala
French Guiana
Guam
Guyana
Hong Kong
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Isle of Man
India
British Indian Ocean Territory
Ireland
Iran, Islamic Republic of
Iraq
Iceland
Israel
Italy
Jamaica
Jersey
Jordan
Japan
Kazakhstan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Saint Kitts and Nevis
Korea, Republic of
Kuwait
Lao People's Democratic Republic
Lebanon
Liberia
Libya
Saint Lucia
Liechtenstein
Sri Lanka
Lesotho
Lithuania
Luxembourg
Latvia
Macao
Saint Martin (French part)
Morocco
Monaco
Moldova, Republic of
Madagascar
Maldives
Mexico
Marshall Islands
Macedonia, Republic of
Mali
Malta
Myanmar
Montenegro
Mongolia
Northern Mariana Islands
Mozambique
Mauritania
Montserrat
Martinique
Mauritius
Malawi
Malaysia
Mayotte
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Niue
Netherlands
Norway
Nepal
Nauru
New Zealand
Oman
Pakistan
Panama
Pitcairn
Peru
Philippines
Palau
Papua New Guinea
Poland
Puerto Rico
Korea, Democratic People's Republic of
Portugal
Paraguay
Palestine, State of
French Polynesia
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saudi Arabia
Sudan
Senegal
Singapore
South Georgia and the South Sandwich Islands
Saint Helena, Ascension and Tristan da Cunha
Svalbard and Jan Mayen
Solomon Islands
Sierra Leone
El Salvador
San Marino
Somalia
Saint Pierre and Miquelon
Serbia
South Sudan
Sao Tome and Principe
Suriname
Slovakia
Slovenia
Sweden
Swaziland
Sint Maarten (Dutch part)
Seychelles
Syrian Arab Republic
Turks and Caicos Islands
Chad
Togo
Thailand
Tajikistan
Tokelau
Turkmenistan
Timor-Leste
Tonga
Trinidad and Tobago
Tunisia
Turkey
Tuvalu
Taiwan, Province of China
Tanzania, United Republic of
Uganda
Ukraine
United States Minor Outlying Islands
Uruguay
United States
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadines
Venezuela, Bolivarian Republic of
Virgin Islands, British
Virgin Islands, U.S.
Viet Nam
Vanuatu
Wallis and Futuna
Samoa
Yemen
South Africa
Zambia
Zimbabwe
State
-Select-
Andaman & Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhatisgarh
Dadra & Nagar Haveli And Daman & Diu
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
OTHER
District
City/Town/Village
Pin Code
Parent’s Details
Father's Name
Father's Mobile No.
Father's Qualification
Father’s Occupation
-Select-
Advocate
Agriculture
Army
Business
Doctor
Engineering
Government
Homemaker
Judicial
Mp/Mla
Other
Other Central Govt.
Other State Govt.
Police
Private Service
Public Sector
Railway
Revenue
Teaching
Father’s Designations
Father’s Department
Mother's Name
Mother's Mobile No.
Mother's Qualification
Mother's Occupation
-Select-
Advocate
Agriculture
Army
Business
Doctor
Engineering
Government
Hosewife
Judicial
Mp/Mla
Other
Other Central Govt.
Other State Govt.
Police
Private Service
Public Sector
Railway
Revenue
Teaching
Mother's Designations
Upload Father/Guardian Signature
Visit Our Head Office
House no 60-A, Masilamani Street T. Nagar, Chennai,India 600 017.
Visit Our U.P. Regional Office
117/N/92, N Block, Kakadeo Kanpur, UP
View on Google map
Contact Us For any Queirey at
+91-786-0786213
,
0512-2503670
(08:00 AM to 08:00 PM)
Send us a Message
info@brilliant.ac.in
Location
×