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Monday, Dec, 11, 2017

ONLINE APPY APPLICATION FORM

Student First Name
Last Name
Father's Name
Mother's Name
Date of Birth
Gender
Male     Female
Marital Status
Married     Unmarried
Nationality
Religion
Category
Employment Status
Employed     Unemployed
Is Physically Handicapped
Yes     No

Program Details

Course Level
Academic Year
Course
Year
Lateral Entry
Yes     No

Current Qualification Details

Physics Chemistry Math Biology English
Intermediate(Marks)
Diploma

Past Acadmic Details

Qualification Name University / Board Year of Passing Roll no. Marks Max-Marks %age Division / Grade Attach
Matric 10Th
Intermediate(12th)
Under Graduation
Diploma

Other Records

Migration Certificate(Original)
School Leaving Certificate
Low Income Certificate
Provisional Certificate (University)
Character Certificate
SC / ST / OBC / Reservation Certificate
Proof of Disability
Medical Certificate

Contact Details

Permanent Address
Country
State
City
Pincode
Address
Correspondence Address 
Country
State
City
Pincode
Address
Fixed Landline No.
Mobile No.
Alternate Mobile No.
E-mail ID