Online Application

PERSONAL PARTICULARS

    

First Name *

Surname

Email *

Mobile Number *

Date of Birth *

Nationality *

Father's Name *

Father's email Id

Father's Mobile No

Father's Qualification

Father's Occupation

Father's Office Address

Office Tel.No

Mother's Name *

Mother's Qualification

Mother's Occupation

Annual income of parents

Local Guardian's Name

Local Guardian's Address

Local Guardian's Phone no

PRESENT ADDRESS
Present Address
PERMANENT ADDRESS
Permanent Address
EDUCATIONAL RECORD

     

Examination Passed

Institute / Board / University

Course

Aggregate % Marks Obtained

Year of Passing

X*

XII*

Graduation

EXTRA-CURRICULAR ACTIVITIES

Activity

In What Capacity

Institution

Year

COURSE APPLIED FOR
DOCUMENTS
DECLARATION

I hereby declare that all information given above is true to the best of my knowledge. I also undertake to abide by all the rules and regulations of the institute in force or which may come in force from time to time. In case of violation of these rules, in any manner whatsoever, I am liable to be expelled suspended from the institute.

     

    

     

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