Applicant Admission Form

  • Name:
  • Father's Name
  • Mother's Name
  • Date of Birth
  • Gender
    Male: Female:
  • Address:
  • Contact no.
  • Email ID
  • Civil Status Particular
    Single: Married:
  • Category
    SC: ST: SCBU : General:
  • Religion
  • Nationality
  • Other
    Employed: Unemployed:
  • Course
  • Applicant Declaration

    I Mr. /Ms/Mrs. hereby declare that the above written particulars by me are true to the best of my knowledge & belief. I, also declare that, I am not suffering from any serious/contagious ailment and/or any Psychiatric / psychological disorder.