Procedure


Admission Form

Application No

1. Applicant Personal Details (You must fill your details in Block Letters only)
Applicant Name: (As per Mark sheet)

Title:

Last

First

Middle

Category:

Caste/Sub Caste:

Sex:

Date of Birth:

Place of Birth:

Blood Group:

Marital Status:

Religion

Nationality

EMAIL

2. Detail of Correspondence (Applicant’s own/ Family Member’s Details)

Name of Parents/ Guardians:

Occupation:

Mother’s Name:

Occupation:

Permanent Address:

State:

Pin Code:

State of Eligibility:

Applicant’s Mobile No:

Applicant Email ID:

Parents/ Guardian’s Mobile No.:

3.Education Qualification

EXAM PASSED Name of Degree YEAR OF PASSING/APPEARING Stream BOARD/UNIVERSITY GRAND TOTAL CGPA/CPI/%
10TH
12TH /DIPLOMA
DIPLOMA
OTHERS

4. Declaration cum Undertaking (by Applicant)

I hereby declare that the particulars furnished in this application form are correct. I have verified my eligibility to apply against category to which I have applied. I understand that in case any information furnished in this form is found to be incorrect or incomplete, my admission will stand cancelled. I further certify that I agree to abide the policies and conditions as outlined in the Institute prospectus

5. Enclosure/Checklist (Upload)

SSC Mark SheetHSC /Diploma Mark SheetSSC CertificateHSC/Diploma CertificateSchool Leaving CertificateCharacter Certificate /Attempt CertificateCaste Certificate CopyMedical Certificates (Colour Vision & Physical Fitness)Aadhaar Card CopyIncome Certificate CopyPassport Size PhotographsYour Signture

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Your Signature

Place

Date