Joint Entrance Examination (Main) - 2026
Conducting by National Testing Agency
Jee Main Application Form (Sample)
Candidate’s Name:-
(Candidate’s Name must Exactly be the same as Class 12th/Equilent Qualifying Examination):-
_________________________________________________________________________________;
Father’s Name (same as Class 12th):- __________________________________________________;
Mother’s Name (same as Class 12th):-_________________________________________________ ;
Date Of Birth (As per Class Xth Certificate) (dd/mm/yyyy):- _____________________;
Gender:- ___________;
Contact Details
Premises No/Name :- ___________________, Locality :- __________________________________,
Country :- _______________________, State :- __________________________________,
District :- ________________________,Pincode :- __________________________________,
Email Id :- _____________________________, Mobile :- ___________________________________,
In case of Girl candidate, Are you only child of your parents? : YES / NO
Nationality : Indian ; State/ UT from where 12th/ Equivalent Passed/ Appearing:- ANDHRA PRADESH
Category :GENERAL / SC / ST / OBC-NCL(CENTRAL LIST) :- ________________________;
(State list OBC Candidates who are not in OBC-NCL central list must choose General.)
If you are a PwD Candidate, do you have benchmark disability (40% or more / “Severe” where
percentage is not defined) ? : YES / NO :- ________; Are You Diabetic : YES / NO :-______________;
Place of Residence : Rural / Urban :- ______________; Annual Family Income :- __________________;
Mode of Preparation :- Self Study; Medium of Schooling in Qualifying Examination :- ______________;
Enter Identification Number(Aadhaar/ Enroll No) :- _____________________________________;
Enter Identification Number (APAAR ID) :- _____________________________________;
Exam Related Details
Applying for :- JEE(Main) - Paper-1 & Paper-2A & Paper-2B :- _________________________________;
Question Paper Medium : English;
Exam Centers Choices:-
1st Choice :- ______________________________; 2nd Choice : ________________________________;
3rd Choice :- ______________________________; 4th Choice: ________________________________;
Father/Guardian Occupation:- ___________________; Father/Guardian Qualification:- ___________;
Mother/Guardian Occupation:- __________________; Mother/Guardian Qualification:- ___________;
Education Details
Qualification :- 10th or equivalent
Pass Status :- Passed ; Year of Passing :- ___________; Qualifying Exam :- 10th or equivalent ;
Place of Schooling :- VILLAGE / TOWN / CITY : ________________;
Type of School :- Govt / Govt Aided / Jawahar Navodaya / Private / Others :- ____________________;
Qualifying Examination State :- _________________________________________________________,
School Board of Class 10th/Qualifying Examination:- SSC / CBSE / ICSE :- _______________________;
Qualifying Examination Dist :- ________________________________________________________,
Result Mode :- Percentage / CGPA / :- _____________; CGPA / Percentage Obtained :- __________;
Class 10th Roll Number :- ______________________________;
Class 10th School Name:-______________________________________________________________;
Class 10th School Pin Code :- ______________________________;
Qualification :- 12th or equivalent
Pass Status :- Appearing ; Year of Passing / Appearing Class 12th or its Equivalent : 2026 ;
Place of Schooling :- City ;Type of School/College :- :- Private;
Qualifying Examination State :- ANDHRA PRADESH ; Qualifying Examination Dist :- ______________;
College Board of Qualifying Examination:- _____________; Class 12th Roll Number :- _____________;
Class 12th School / College Name:- ___________________________________________________;
Class 12th College PinCode:- ___________________________________________________;
Additional Details : Are You Twin :- Yes/No:_____; Alternative Mobile Number : ________________;
Alternative Mail ID : ____________________________________;
LIVE CAPTURE PHOTOGRAPH REQUIRED
Documents to be Upload
Upload Scanned Images of the Candidate’s Photograph, Signature, and PwD Certificate/
UDID Card (Swawlamban Card), Class X Certificate (wherever applicable):
i. The recent photograph should be either in colour or black & white with 80% face (without mask)
visible including ears against a white background.
ii. The scanned photograph and signature should be in JPG/JPEG format (clearly legible).
iii. The size of the scanned photograph should be between 10 kb to 200 kb (clearly legible).
iv. The size of the scanned signature should be between 4 kb to 30 kb (clearly legible)
v. The size of the scanned copy of the PwD certificate should be in pdf between 50 kb to 300 kb
(clearly legible)
v. The size of the scanned copy of the Class X or Equilant certificate / Mark Sheet should be in pdf
between 50 kb to 300 kb (clearly legible)
Signature of the Student
