Admission

Academic Year *

Name of the Applicant *

Gender *

Date of Birth *

Age *

Religion *

Caste *

Belongs to non creamy layer *

Name of Father *

Mobile Number *

Name of Mother *

Mobile Number *

Occupation of Parent *

Annual Income *

Mother Tongue *

Nationality *

Permanent Address *

Pincode *

Mobile Number *

Email *

Entrance Appeared

Qualifying Year

Score Obtained

Accademic Qualification

1	SSLC	Name of the Institution *	Board/University *	Year of passing *	% of Marks *	Class/Grade *
2	Plus Two	Name of the Institution *	Board/University *	Year of passing *	% of Marks *	Class/Grade *
3	Graduation	Name of the Institution *	Board/University *	Year of passing *	% of Marks *	Class/Grade *
4	Others	Name of the Institution	Board/University	Year of passing	% of Marks	Class/Grade

Other Informations

Additional Academic Information

Work Experience

Proficiency in Art,Sports and Games

Hobbies and Extracurricular Activities

Attach your passport size Photograph * JPEG,PNG,GIF . Maximum file size 150 kb

Attach your Signature *
JPEG,PNG,GIF . Maximum file size 150 kb

I hereby declare that the particulars given above are true and correct to the best of my knowledge and belief. If admitted, I will abide by the rules and regulations of the institute. I understand that my admission is purely provisional subject to the verification of the eligibility conditions.

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Accademic Qualification

Other Informations