ADMISSION FORM

Date


U.S CAPITAL LATTER ONLY

All essay transcripts etc, Must be printed and signed.

Attracted only self-attested photocopies of your class X , Xll and degre mark sheets.

Affx eight passport size photographs with this application form.




PERSONAL DETAILS


Full Name

Date Of Birth


 

Age

Gender


Male

Female

Other

Material Status

Category


Gen

SC

ST

OBC

Region


Yes

No

Physical Handicaped

Minority Community

MP Domicile

Permanent Address

City

State

Country

Area PIN Code

E-Mail

Mobile Number (1)

Mobile Number (2)

Local Address

Area PIN Code

Contact Number

Name Of Gurardian

Relation With Student

Guardian’s Address