Registration

Registration Form

First Name*

Last Name

Gender

Male

Female

D.O.B*

Father's Name*

Mother's Name*

Specialization*

Class*

Section*

Father Mob No.*

Mobile No.*

Category*

Admn Category*

Student Email

Aadhaar Card No.*

Religion*

Payable Amount*

Transport

Address*

State*

District*

Hostel

Address Information:

Step 2 - 5

Same As Correspondence Address

Correspondence Address*

Admission Category

Permanent Address*

Blood Group

State*

District*

Pincode*

Parent Information:

Step 3 - 5

Mobile . No.*

Mobile . No

Aadhaar Card No.

Occupation

Designation

Academic Information:

Step 4 - 5

After 10TH Qualification*

Course	School/Institute	Board/University	Roll No.	Degree/Course	Year Of Pass	Marking Scheme	Total Marks	Marks Obtained	Percentage/ CGPA
10th
12th
Diploma
Graduation
Other

Documents Upload:

Step 5 - 5

Student

Father

Mother

Gaurdian

1. Signature

2. 10th Marksheet

3. 12Th Marksheet

4. Diploma

5. Graduation

6. Migration Certificate

7. Caste Certificate

8. Aadhaar Card

I CERTIFY THAT THE INFORMATION SUBMITTED BY ME IN SUPPORT OF THIS APPLICATION, IS TRUE TO THE BEST OF KNOWLEDGE AND BELIFE, I UNDERSTAND THAT IN THE EVENT OF ANY INFORMATION BEING FOUND FALSE OR INCORRECT, MY ADMISSION IS LIABLE TO BE REJECTED / CANCELLED AT ANY STAGE OF THE PROGRAM, I UNDERTAKE TO ABIDE BY THE DISCIPLINARY RULES AND REGULATIONS OF THE INSTITUTE.