Registration Form
1. a. Course Type*
2. Name of Applicant*
3.a. Father's Name*
   b. Mother's Name*

4. a. Permanent Address*

    b. Correspondence Address*

5. Phone No.*

6. E-mail ID*  
7. Date of Birth
8.a. Age as on 1st April
   b. Gender*
9. Catergory*
10. Name/Percentage of Marks in Qualifying Examination
11. Name of the School/College/Institute last attended
S
No.
Examinations Passed Board/University Subject Year Percent

1.

High School or Equivalent

2. Intermediate or Equivalent
3. Graduation (PCM)
4. Others
5. Other Distinguished
Achievements
12. Hostel
 YES NO 
13. Payment Options
 Card Draft  Cheque Cash 
14. Enter The Code *

 

 


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