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Form Fillup For General Course
  Friday, 21 Sep 2018
PERSONAL PART
Name      
Date of Birth
Attach Your Passport Size Photo

Not more than 100kb
 

Not more than 100kb
 
Upload Student Signature
Nationality    
Religion    
Minority  
Gender  
Caste     Sub Caste
Physically Handicapped  
Contact No.    
Whether 1st Generation Learner  
Are you from family of bidi worker?  
Whether BPL ?  
BPL No
Father's Name    
Monthly Family Income    
Father's Qualification  
Address of the candidate:(PERMANENT)    
Whether Staying at  
Local Address  
Address For Correspondance:      
Police Station (P.S.)  
Mother's Name     
Mother's Qualification  
Guardian's Name    
Guardian's Occupation    
Relation with Guardian    
Guardian's Contact No.    
Marital Status  
Spouse Name  
ACADEMIC PART
H.S/Equivalent Roll & No./Index No.   
Year of Passing  
Name of the Council/Board  
Name of the School  
 
Statement of marks obtained in the H.S./Equivalent Examination
Please Select Subject Marks Obtained Full Marks
 EnglishCompulsory    
     
     
     
     
     
 
Total Marks Best Five
 
APPLICATION PART
Applicant may choose Elective Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.
Srl. No.StreamCourse TypeGeneral Subject 1General Subject 2General Subject 3Merit Marks
1
Please confirm Date of Birth then submit your Application Form.