Registration

Online Registration Form Acadamic Session 2016-17

Mention Course Preferences
  • Preference - 1
  • Preference - 2
  • Preference - 3


Scholar's Name
Father's Name
Mother's Name
Permanent Address
City
State
Pincode
Landline
Mobile
E-mail
Date of Birth  (DD/MM/YYYY)
Category  General   OBC   SC   ST   Handicapped
Gender  Male   Female 
Medium  English   Hindi   other 
Nationality
Educational Qualification

Exam Passed

Year

Name of school / college

Board / University

Subject

Percentage

10th / Matric

12th / Intermediate

Graduation

Post Graduation

Any Other

Place

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