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