Student Registration
Registration
Student
Application Form
Personal Details
Name of Candidate*
Upload Photo*
366 x 472 pixels
Date of Birth*
Gender*
-- Please select --
Male
Female
Other
Aadhaar Number*
Blood Group*
-- Please select --
A+
A-
B+
B-
O+
O-
AB+
AB-
Phone No.*
Mobile No*
Email*
Religion & Caste*
Category*
-- Please select --
SC
ST
OEC
GENERAL
OBC
OTHER
Category / Quota*
-- Please select --
Management Quota
NRI Quota
State*
Number of Appearance (HSC / CBSC / VHSE)*
Upload Candidate Signature
Details of marks obtained in higher secondary examination
PDC / HSC / CBSE / VHSE Exam
Physics
Chemistry
Biology
English
PCB Total
Percentage (%)
Marks Obtained
Maximum Marks
Last Institution Details
Particulars of other qualifications if, any*
Other Extra Curricular Activities*
Address of the Institution last attended & the course attended*
Guardian Details
Name of Father*
Father Phone Number*
Name of Mother*
Mother Phone Number*
Permanent Address with Pincode*
Present Address with Pincode*
Relationship of Applicant with Guardian*
Name & Address of Guardian, Tel.No with STD Code*
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