Application Form

1. Admission In*

2. Applicant Name*

3. Email*

4. Mobile No*

6. Father's / Husband Name*

7. Mother's Name *

8. Permanent Address *

9. Present Address *

10. Guardian’s Name (if parents is not guardian)

11. Name of the School / College last Attended *

12. Police Station of School/College *

13. PIN of College/School

14. Date of Birth *

15. Name of Local Guardian

16. Relationship

17. Guardian Occupation

18. Address of the Guardian

19. Annual Family Income*

20. Nationality *

21. Gender*

22. Cast*

23. Marital Status*

24. Blood Group*

25. Extra Curricular Activity

26. Examination(10th)*

27. Board/Council(10th)*

28. Roll No(10th)*

29. Year of Passing(10th)*

30. Div/Class(10th)*

31. % of Marks(10th) *

32. Examination(12th)

33. Board/Council(12th)

34. Roll No(12th)

35. Year of Passing(12th)

36. Div/Class (12th)

37. % of Marks (12th)

38. Examination(Graduation)

39. Board/Council (Graduation)

40. Roll No(graduation)

41. Passing Yr(Graduation)

42. Div/Class (Graduation)

43. % of Marks (Graduation)

44. Examination (Master)

45. Board/Council (Master)

46. Roll No (Master)

47. Year of Passing (Master)

48. Div/Class (Master)

49. % of Marks (Master)

50. Examination(Other)

51. Board/Council (Other)

52. Roll No (Other)

53. Year of Passing (Other)

54. Div/Class (Other)

55. % of Marks (Other)

56. Upload Photo*

*File type should be png / jpg / bmp only & File size Max 1MB

57. Upload Signature*

*File type should be png / jpg / bmp only & File size Max 1MB

58. Declaration *