Know Your Inherent Potential TM TM TALENT SEARCH EXAM FOR ACADEMIC SESSION : 2015-16 REGISTRATION FORM Registration No. MEDIUM English Appropriate Field Pre- Medical Part in which Participate Energetic-36 : Level - I For Class VIII Energetic-36 : Level - II For Class IX and X Hindi Target-36 IIT-JEE XI and XII Bio Maths Name & Address of School Presently Studying PERSONAL INFORMATION (IN CAPITAL LETTERS) Name : Class : Father's Name : Date of Birth : Photo Education qualification : Occupation : Mother's Name : Education qualification : ADDRESS FOR CORRESPONDENCE (IN CAPITAL LETTERS) PIN CODE Mob. No. Contact No. Basic No. Fill the Registration Form completely and send it to :- YCL, Plot No. 136-138, Near BSNL Office, Maan ji Ka Hatha, Paota. Jodhpur, Tel.: 0291- 2546475, 97995-54455 PERMISSION LETTER Registration No. Photo Name of Student Energetic-36 Level- I Class Level- II Target-36 Medium Father's Name Name of Exam Centre YCL, 127, Saraswati Shopping Complex, Saraswati, Nagar, Basni, Pali Road, JODHPUR. Tel :- 0291-2723055, 9799554455 TERMS & CONDITION 1. 2. 3. 4. 5. All Question will be single correct object type question. Negative marking will be applicable. About any correction related to Exam no claim will be accepted. No TA & DA All right related to exam and results are reserved to YCL. Signature Of Authority Note :- Deposit Rs. 100/- to get your Permission Letter from Exam Centre.