Personal Information
Date of Birth *
:
[dd/mm/yyyy]
Correspondance Address *
:
Note:Please do not write State, District, City and Pin-Code in the above box
State *
:
Please Select If Permanent Address Is Same As Correspondance Address *
:
Permanent Address *
:
Note:Please do not write State, District, City and Pin-Code in the above box
State *
:
District *
:
Select Caste Category *
:
Select Religion *
:
Type of Disability
:
Percentage of Disability *
:
Father/Husband Income in(Rs.) *
:
Educational Information
Name of College from Where Graduated *
:
Select Graduation Degree *
:
Month & Year of Passing *
:
CGPA / Marks System for Graduation *
:
Total CGPA Obtained In TY *
:
Total CGPA Obtained In SY *
:
Total CGPA Obtained In FY *
:
Hostel Accomodation
Hostel Accomodation Required? *
Examination Center
Preference of Entrance Examination Center *
:
|