Online Application
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APPLICANT'S PERSONAL DETAILS


Name
Date Of Birth
Mobile
Email
Gender
Marital Status
Category

MAILING ADDRESS


Permanent Address
State
City
Pin

FATHER'S DETAILS


Father Name
Occupation
Office Address
Tel/Mobile No.

MOTHER'S DETAILS


Mother's Name
Occupation
Office Address
Tel/Mobile No.

ACADEMIC QUALIFICATIONS


Secondary (X)
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Sr. Secondary (XII)
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Graduation Degree
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Post-Graduation Degree
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Professional Degree
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
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Do you require Transport facility?

ENTRANCE EXAM DETAILS (IF ANY)


Examination
Date
Reg./Roll No.
Composite Score
Percentile
Examination
Date
Reg./Roll No.
Composite Score
Percentile

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