Form Fillup For General Course

Form submission is closed..  Tuesday, 12 Dec 2017
PERSONAL PART
Name      
Date of Birth
Attach Your Passport Size Photo

Not more than 50kb
 
Nationality      
Religion    
Minority  
Others Minority
Gender  
Caste    
Physically Handicapped Challenged Category  
Blood Group
Mobile No.(10 Digit)    
Email ID  
Father's Name    
Mother's Name      
Guardian's Qualification
Guardian's Name  
Guardian's Occupation
Monthly Family Income  
Relation with Guardian
House No/Street
Ward No
Vill/Town
P.O.    
Block    
Police Station (P.S.)    
District    
State    
PIN      
 
House No/Street
Ward No
Vill/Town
P.O.    
Block    
Police Station (P.S.)    
District    
State    
PIN      
Marital Status
Spouse Name  
Economically Challenged Category
ACADEMIC PART
Qualifying Exam
Division  
Registration No.  
 H.S/Equivalent Roll   H.S/Equivalent No./Index No.
H.S Grade  
Year of Passing  
Name of the Council/Board               Migration
Name of the School
 
 Statement of marks obtained in the H.S./Equivalent Examination * Do not enter the marks of Environmental Studies
Please Select Subject Marks Obtained Full Marks Theory
EnglishCompulsoy    
 Compulsory    
     
     
     
     
     
 
Total Marks Best Four
 
APPLICATION PART
Applicant may choose Elective Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.
Srl. No.StreamCourseDiscipline1 (Subject1)Discipline2 (Subject2)Discipline3/Generic Elective (Subject3)AECC(Major Indian Language[MIL])Merit Marks
1      
Please confirm Date of Birth then submit your Application Form.