Admission Form

Student Registration Form

Note:

Fill the all details correct and carefully.

Adminission Details

Roll Number (Hallticket Number):*

Branch:*

Category:*

Personal Details

Student Name:* (As per SSC Records)

Date of Birth:*

Student Phone:*

Student Aadhar Number:*

Blood Group:

Gender:*

Caste Category:*

Religion:*

PAN Card Number:

Passport Number:

PH Status:*

Student Email ID:*

Identification Mark 1:*

Identification Mark 2:

Family Details

Father Name:* (As per SSC Records)

Father Phone Number:*

Father Aadhar Number:

Father Occupation:

Mother Name:*

Mother Phone Number:

Mother Aadhar Number:

Mother Occupation:

Father Annual Income:*

Communication Addresss:

Address Type:*

Qualification Details

10th Board:*

SSC Hall Ticket No:*

10th Year:*

CGPA:*

Inter Board:*

Inter Hall Ticket:*

Inter Year:*

Percentage:*

CET Name:*

Inter College Name:* (With Place of Study-Address)

Rank:

Documents Details

Photo

* Size Should be Less than 50 KB(.jpg/.jpeg/.png) (height: 150px and width: 150px)

Signature

* Size Should be Less than 50 KB(.jpg/.jpeg/.png) (height: 60px and width: 180px)

Upload Aadhar Card * Size Should be Less than 50 KB(.jpg/.jpeg/.png)

Note: (*) Star Mark indicates Mandatory fileds.

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