ONLINE ADMISSION FORM

Date: 03-03-2021

Kindly fill the following application form with valid records...

Basic details:
Course: Semester
Student details:
First name: DOB (dd/mm/yyy)
Last name:
Student Gender: Male Female Place of Birth:
Parent's information: parent Guardian Father's Occupation:
Father name: Mother Name:
   
Contact Details:
Contact Address: State:
Mobile Number:

District:
Email:
Alternate Contact Number: City / Town / Suburb:

Country:

Postal / Zip Code:

Nationality details:
Nationality:
Subject Maximum Marks Marks obtained No. of attempts

  Total marks    
Other details:
Language studied in X Std. other than English Yes No
Language studied in XII Std. other than English yes No
Are You a Vocational course student? yes No
Are you Physically Challenged? yes No
Declaration:
I declare that all the particulars furnished above are true and correct. I submit that I will abide by the rules and regulations of the College.

Place :