STUDENT REGISTRATION FORM
    
Online Application Form
 
Full Name Of The Candidates :
Category :     Choose Your Course   :
Date of Birth :
Age as on(the year of admission) :
Nationality :
Marital Status :
Religion :
Educational Qualification :
Permanent Home Address
At :
Po :
Dist :
Police Station :
Pin :
State :
Phone :
Present Address
Same as Permanent Address
At :
Po :
Dist :
Police Station :
Pin :
State :
Phone :
 
 
Full Name Of Father/Husband :
Occupation :
Address :
 
 
Guardians Name(If Father is dead) :
Occupation :
Address :
Relationship with candidate :
Phone No :
Academic details
SL.No. Name Of The Examn. Name Of The Board/Council Year Of Passing Mark Secured Without Extra optional % Of Mark Secure Without Extra optional 50% Of marks secured
1 2 3 4 5 6 7
1 H.S.C or it's Equivalent
2 +2 or it's Equivalent
 
 
    I hereby confirm and declare that all information given here in true & correct and I shall accept all the terms and condition as started. I shall be bound and abide with the rules and regulations of organization.