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    1. Registration Details* (Mandatory fields)
    Course Admitted *
    Type of Student
    ERN/PRN No. *
    Student's Surname*
    Student's First Name*
    Student's Father Name*
    Mother's Name * ( Full Name As Per Educational/Legal Certificate )
    Gender *
    Date of Birth(dd-Mon-yyyy) *
    ( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
    Category *
    Religion *
    Caste *:
    Blood Group
    Place of Birth *:
    Apply for Concession *
    Minority Status *:
    Citizen *
    2. Contact Details *
    Mobile No. *
    Father Mob.*
    Guardian Mob.*:
    Email Address * (e.g.abc@yahoo.com)
    3. Address Details
    Address Line1 *
    Address Line2
    Tehsil *
    City/Town/Village *
    Country *
    State *
    District *
    Pin Code *
    4. Educational / Qualification Details
    STD 12th Stream
    SL.No. Qualification Board/University Seat/Roll Number Passing Year Marks Grade / Percentage
    1. STD 10th *
    2. STD 12th *
    SL.No. Qualification Board/University Seat/Roll Number Result Month Year CGPA
    1. Sem I *
    2. Sem II *
    3. Sem III *
    4. Sem IV *
    5. Other Information
    Do you wish to join NCC/NSS *
    If Physically Challenged *
    Mother Tongue *:  
    Occupation of the Grardian * Annual Income of the Guardion (Rs.) *:
    Candidate Aadhar Card No. * Upload Aadhar Card :
    • Photos should only be in jpg format
    • Photos size should not exceed 50KB
    • Signature should only be in jpg format
    • Signature size should not exceed 50KB


    6. Declaration by Student
    * I Agree I hereby declare that, I have read the rules related to admission and the information filled in by me in this form is accurate and true to the best my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of any document the final admission will not be granted and/or admission will stand cancel.
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