Admission Form

PERSONAL DETAIL

Name (required)

Sex: MaleFemale

Present Address:

Telephone No:

Mobile: No:

Email (required)

Date of Birth:

Place of Birth:

PARENT'S / GUARDIAN NAME

Name:

Permanent Address:

Telephone No:

Mobile No:

Occupation:

EDUCATIONAL QUALIFICATION

Name of School/College/University last attended:

Certificate/ Diploma / Degree obtained:

Marks Obtained:

Physics:

Chemistry:

Biology:

English:

COURSE OF STUDY APPLIED FOR

Name of the course:

Medium:

University applied:

LANGUAGE PROFICIENCY

Mother tongue:

Language used in secondary education:

Language used in higher secondary education:

UPLOAD REQUIRED FILES

*Note: File Size not more then 500kb & File type accepted
.jpg, .jpeg, .png, .pdf

Your Latest Photo

Your 10th Marksheet

Your 12th Marksheet

Passport Front

Passport Back