On Line Application Form For Under Graduate Course

Application Form For:
Course Name:
Student Name:
Father Name:
Mother Name:
Date Of Birth:
Sex:
Domicile:
Category:
Blood Group:
Stream Of Weightage:
Mailing Address:
Permanent Address:
Email:
Mobile no:
EDUCATIONAL QUALIFICATION:

High School:

High School Roll Number:
Year Of Passing:
Board/University:
Subject:
Total Marks:
Obtained Marks: ..OR..Grade:-

Intermediate:

Intermediate Roll Number:
Year Of Passing:
Board/University:
Subject:
Total Marks:
Obtained Marks: ..OR..Grade:-


Declaration:-       

I hereby declare that the particulars furnished by me in this application form are true to the best of my knowledge and belief. In case any information is found to be incorrect, my candidature shall liable to be rejected.




Upload Candidate Image with Signature: