ONLINE APPLICATION FORM FOR ADMISSION

Affix Recent Passport size photo(3.5x3.5 cm)

Programme

Personal Information

Name of the Candidate

Date of Birth

Sex

Nationality

Category

Address/Other information

Name of Parent/Guardian

Correspondence Address of Parent/Guardian for All Communication

Country

State

City

Pin

Email

Tel

Mobile

Particulars of Parents/Guardian

Occupation

Educational Qualification

Examination
Name of the Institution
Place
Year
Specialization
Percentage

Xth Standard
Name of the Institution
Place
Year
Specialization
Percentage

XIIth/PUC
Name of the Institution
Place
Year
Specialization
Percentage

Diploma
Name of the Institution
Place
Year
Specialization
Percentage

Graduation
Name of the Institution
Place
Year
Specialization
Percentage

Post Graduation
Name of the Institution
Place
Year
Specialization
Percentage

Payment

Application fees of Rs.1000/- paid by