Application Form
Note: Please enter correct information that tallies with your certificates.

 
Course Second Language

Personal Details
First Name Last Name
Date of Birth Day Month Year  
Place of Birth District State
Nationality Religion Mother Tongue
Computer Knowledge
Email Address Email1:
Email2:

Please give atleast one correct email address. We will correspond with you on these email addresses.

Contact No:

Address
Address for Communication Permanent Address

Educational Details
Course
(include the major subjects also)
Name Of institution
Address
Board/Univ.
Year
Medium

Last Examination Details: SSC INTER Degree
Board / Univ
H.T.NO.
Marks
Division
Medium
Year of passing
Remarks**

Parental Details
Parent
Name
Occupation
Office address
Income in Rs./annum
Place of Birth
Father Mother Gaurdian

Community /Supernumerary Status
GEN BC SC ST
PH
Ex-servicemen
NCC
NSS
Sports
A
B
C
D
A
B
C
D

Identification Marks
1.
2.

Extra-Curricular Activities

List of Honours

 
 


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