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Form Fillup For General Course

Form submission is closed..  Wednesday, 17 Jan 2018
PERSONAL PART
Name      
Date of Birth
Nationality    
Religion    
Minority  
Gender  
Category/Caste    Sub Caste  
Physically Handicapped     Percentage    
Re-presentation in games and sports in State/National level
Contact No.    
Father's Name    
Father's Phone/Mobile Number   
Father's Qualification
Father's Occupation  
Presenet Address with Pin Code  
 

E-mail address(if any)
 
Police Station (P.S.)
Nearest Railway Station
Mother's Name   
Mother's Phone/Mobile Number   
Mother's Occupation  
Mother's Qualification
Guardian's Name  
Guardian's Occupation  
Family income (Monthly)  
Relation with Guardian  
Marital Status
Spouse Name  
ACADEMIC PART
H.S/Equivalent Roll & No./Index No.
Registration No.  
Year of Passing  
Name of the Council/Board  
Name of the School  
 
Statement of marks obtained in the H.S./Equivalent Examination * Do not enter the marks of Environmental Studies
* If Candidate studied only one language subject in HS then left second subject as it is '-Select Subject'
Please Select Subject Marks Obtained Full Marks
 EnglishCompulsory    
 Compulsory    
     
     
     
     
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.