1- Personal Details (Type in Block Letters)
Name
Sex
Male
Female
Present Address
Phone Number
Mobile Number
Email Address
Date of Birth
Place of Birth
Citizenship
2-PARENT'S/GUARDIAN NAME
Name
Permanent Address
Phone Number
Mobile Number
Occupation
3-EDUCATIONAL QUALIFICATION
Name of School/College/University last attended
Certificate/ Diploma / Degree obtained
Marks Obtained
Physics
Chemistry
Biology
English
Year of Completion
4-COURSE OF STUDY APPLIED FOR
Name of the course
Medium
University applied
5-LANGUAGE PROFICIENCY
Mother tongue
Language used in secondary education
Language used in higher sec. education
6-UPLOAD REQUIRED FILES
Your Latest Photo
Your 10th Marksheet
Your 12th Marksheet
7-OPTIONAL FILES
Do you have Passport?
Yes
No
Passport Front Page
Passport Back Page
Passport Number
Expiry Date
**Please Note**
All fields are mandatory
Make sure all fields are correct
Students keen to take admission should apply for passport (if not ready).
They can apply for urgent passport under
TATKAAL PASSPORT SCHEME.
Files uploaded must be less than 500KB
