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Registration Form

Instruction: Please check the information carefully before submitting. Once submitted, the information cannot be changed. Once you are sure about the correctness of the information, please click the “Submit” button.

Class*

Candidate Details

First Name *

Middle Name

Last Name

Date of Birth *

Blood Group*

Detailed Infromation

Category *

Religion*

Gender *

Family Annual Income *

PEN Number

Father's Information

First Name *

Middle Name

Last Name

Qualification*

Occupation *

Designation

Place of Occupation

Contact Number*

Email Id*

Mother's Information

First Name *

Middle Name

Last Name

Qualification*

Occupation *

Designation

Place of Occupation

Contact Number *

Email Id

Domicile

Address Line 1 *

Address Line 2

District *

State

Country *

PIN Code *

Address For Correspondence

Same As Current Address

Correspondence Line 1 *

Correspondence Line 2

Correspondence District *

Correspondence State

Correspondence Country *

Correspondence PIN Code *

Alumni

Father/Mother was a student of this Institution *
Yes No

Sibling Details

Applicant’s elder brother/sister is studying in this institution *
Yes No

Upload Documents

Upload Candidate photo *

Upload Father photo *

Upload Mother photo *

Upload Father Aadhar *

Upload Mother Aadhar*

Upload Candidate Aadhar*

Upload DOB Certficate*