STUDENT REGISTRATION FORM

Date of Registration (DDMMYYYY format)
Candidate Full Name : Mr / Ms (max 40 characters a-z and A-Z)
DATE OF BIRTH
Nationality
AADHAR NUMBER (12 digit number)
Father's name (40 characters max)
Mother's name (40 characters max)
MOBILE NUMBER (10 digit number)
Permanent Address


Category (max 30 characters a-z and A-Z)
QUALIFICATION






Exam Passed Year of Passing Board/University Stream/Subjects Max Marks Max Obtained Percentage
Highschool
Intermediate
Graduation
photo (JPG,PNG FILES only)
DECLARATION I declare that the information furnished above is true to the best of my knowledge and belief.
If any information furnished is found incorrect, the admission may be cancelled forthwith.