Application for Admission (* marks are mandatory)
Course *
Stream
Name *
Email Address *
Photo (Max 50 KB) *
Signature (Max 50 KB) *
Father's Name
Guardian Name
Annual Income of Guardian
Present Address Line 1 *
Present Address Line 2
Present City *
Present District *
Present State *
Present PIN *
Present Contact No
Same as present address
Permanent Address Line 1 *
Permanent Address Line 2
Permanent City *
Permanent District *
Permanent State *
Permanent PIN *
Permanent Contact No
Name and Address of Local Guardian with Phone
Date of Birth *
Nationality *
Registration Number *
Of Year *
Of University *
Examinations passed *
Name of the Exam.
Name of the Board / University
Year
Div.
Combination
Marks
Agg. %
Madhyamik
H.S.
B.A. / B.Sc. Hons.
Do you agree with the Dress code as depicted in the Prospectus?
Do you belong to SC /ST category?
Category