APPLICATION FORM


Upload Image : *
Name of Student : *
Name of Father/Guardian : *
Name of Mother : *
Parent/Guardian's Occupation: *
Date of Birth : *
Gender : *
Male Female
Nationality : *
Permanent address : *
City :*
Pincode : *
Phone Number :*
Father's Office Phone :*
Mother's Office Phone :
Other No. :
Name of school from where appeared/appearing for Class X/XI/XII : *
Percentage of marks obtained in class X : *
(a) Maths : *  

CGPA : * 
(b) Science : *  

CGPA : * 
(c) English : * 

CGPA : * 
Percentage of marks obtained in class XII : *
(a) PCM :  
(b) PCB :  
(c) Total : *  
Upload Marksheet of Class X : *
Upload Marksheet of Class XII: *
Name of course for which you are applying : *
Email : *
Upload Signature of Student : *
Upload Signature of Guardian/Parents : *
Date :
Enter The Code : *
 
  

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