Application

Application Form For Admission

Field With this Symbol (*) are mandatory to fill

Personal Details:

Name of the Applicant: *

Date of Birth: *

Phone Number: *

Email ID: *

Gender:

Nationality:

Community:

Religion:

Are You Differently Abled ?

Medium of Instruction:

Father's Name: *

Father's Number: *

Father's Occupation:

Mother's Name: *

Mother's Number: *

Mother's Occupation:

Address: *

Pin Code: *

Name of the Qualifying Exam	Year of Passing	Name of the school/collage studied	Name of the university/Board studied	Certificate No	% Obtained	Marksheet Upload

NOTE: Upload the Marksheet in any of these three format (PDF,JPEG,JPG)

Academic Year: *

Course: *

Study Mode: *

*I ,hereby affirm that the particulars given in this Application form are true and correct to the best of my knowledge