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Registration Form

Instruction: Please check the information carefully before submitting. Once submitted, the information cannot be changed. Once you are sure about the correctness of the information, please click the “Submit” button.

Class*

Candidate Details

First Name *

Middle Name

Last Name

Date of Birth *

Blood Group*

Height

Weight

Distance

Detailed Infromation

Category *

Religion*

Gender *

Family Annual Income *

PEN Number

Nature Of Family

Mother Tongue

Father's Information

First Name *

Middle Name

Last Name

Qualification*

Occupation *

Designation

Place of Occupation

Contact Number*

Email Id*

Whatsapp Number

Office Address

Emergency Contact Name

Emergency Contact Number

Mother's Information

First Name *

Middle Name

Last Name

Qualification*

Occupation *

Designation

Place of Occupation

Contact Number *

Email Id

Domicile

Address Line 1 *

City

District *

State

Country *

PIN Code *

Alumni

Father/Mother was a student of this Institution *
Yes No

Sibling Details

Applicant’s elder brother/sister is studying in this institution *
Yes No

Upload Documents

Upload Candidate photo *

Upload Family photo*

Upload Father Aadhar *

Upload Mother Aadhar *

Upload Candidate Aadhar

Upload DOB Certficate *