Online Admission Form (Provisional)
(Session 2017-18)

 Note:
  1. If you have any trouble while filling this admission form, kindly contact us on 9001249311 number.

Course Details

Medium * Programme * Course *

Personal Information

First Name * Middle Name Last Name *
Gender * Date of birth * Category *
Father's Name * Mother's Name * Father's Occupation *
Student Mobile No. * Father's Mobile No. * Mother's Mobile No.
Telephone No. with STD Code Email address *  
 
Communication Address
Permanent Address(If same as Communication then click on checkbox )
Address Line 1 *
Address Line 2
City/Town* District *
State * Postal Code *
Address Line 1 *
Address Line 2
City/Town* District *
State * Postal Code *

Educational Information

Class/Degree Board/University* School/College* Passing Year* Roll No.* Total Marks* Obtd. Marks* Percentage

Details of uploading documents: [All the documents must be less than 300 KB]

  Your passport size photo   Your last qualified exam marksheet