SCIENCE MOVEMENT APTITUDE TEST (SMAT)
For INDIVIDUAL APPLICATIONS
(To be filled in English CAPITAL letters only)
Email:
*
Student's Full Name:
*
Current School Name:
*
Gender:
*
Male
Female
Current Board:
*
Choose
CBSE
ICSE
State Board
Currently studying in:
*
Select Class
Class IX
Class X
Class XI
Whatsapp Mobile no.:
*
Please enter 10 digit mobile number
Alternate Mobile no, if any:
Please enter a 10-digit mobile number
Parent's Full name:
*
Address:
*
District:
*
Select District
Angul
Balangir
Balasore
Bargarh
Bhadrak
Boudh
Cuttack
Deogarh
Dhenkanal
Gajapati
Ganjam
Jagatsinghpur
Jajpur
Jharsuguda
Kalahandi
Kandhamal
Kendrapara
Kendujhar
Khordha
Koraput
Malkangiri
Mayurbhanj
Nabarangpur
Nayagarh
Nuapada
Puri
Rayagada
Sambalpur
Subarnapur
Sundargarh
Would you prefer a call back ?
*
Yes
No
