APPLICATION FORM
Fill Up This Form And Submit On-Line Soon, For Confirmation Of Seat You are required to meet in person with all documents and fees for Spot admission within Seven days of submission of this form, subject to vacancy of seats .
Course to be joined:
Basis of Admission:
Entrance/
Direct
Insatnt Contact
E.Mail
Telephone (with STD)
Name of the Applicant (in block letters)
Date of Birth
/
/
Sex
Male
Female
Nationality
Nativity (District and State)
Name of the Father / Guardian
Address of the Father / Guardian
Name of the Mother
If admitted, proposed to reside with
Parents
Guardian
Other
Integrated course package option
Yes
No
Accommodation desired
Yes
No
Address for Communication with PIN code Phone No. and E-mail ID
Address
ACADEMIC BACKGROUND OF THE CANDIDATE
Educational Qualification
Name of the Board/ University
School/College from which appeared
Subjects offered
Total Marks
Maximum marks
% of markes and Division
year of passing
H.S.C/ C.B.S.E/ I.C.S.E
10+2
DEGREE
OTHERS
(if any)
DECLARATION
I declare that the facts furnished above are true to the best of my knowledge and belief. I hereby agree to abide by all rules and regulations of the collage.