Online Admission

I. PERSONAL DETAILS

Upload Student Photo: *

Name of the candidate in full (in block letters, as per in S.S.L.C. Marks Card): *

Father's Name: *

Father's Occupation: *

Father's Contact No.: *

Mother's Name: *

Mother's Contact No.: *

Gender: MaleFemale

Date of Birth: *

Place of Birth: *

Nationality: *

Religion & Category: *

Upload Caste Certificate: *

Place of Residence: *

Permanent Address: *

Address for Correspondence: *

Mobile No: *

Email: *

II. A. EDUCATIONAL DETAILS:

B. Achievements:

1.

2.

3.

C. Subjects opted for the Semester-I&II / III&IV / V&VI:

NOTE: All applications must be accompanied by duly attested certificates

I hereby declare that the above information furnished by me is true and correct to the best of my knowledge. I promise to produce all the documents required in support of the same.

Date:

Place: