Share you details about to enable us to getting in touch with you

Name:
Date of Birth:
E-mail Address:
Parent’s Name:
Mobile Number:

Academic Details

School / College Name:
Presently studying in (Class):
Subjects / Stream :
Service Required :

Please see eligibility criteria carefully / for clarifications, write to us.

I am providing my information to Mindscan Education , for the purpose mentioned above. The information stated above is correct. I understand MindScan will contact me , to take the process further. I agree to pay the charges for the services – in advance – as will be informed to me. I understand that payment once made will not be refunded under any circumstances.